Individual
SAMUEL ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3300 HEALTHPLEX PKWY, NORMAN, OK 73072-9749
(405) 515-1500
Mailing address
2900 S TELEPHONE RD, MOORE, OK 73160-2968
(405) 237-7500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2560
OK
Other
Enumeration date
12/31/2015
Last updated
05/10/2016
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