Individual
ANGELA DIANE BARTLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20826 MAIN ST, HARRAH, OK 73045-9756
(405) 454-2404
(405) 454-6371
Mailing address
PO BOX 900, 20826 W. MAIN, HARRAH, OK 73045-0900
(405) 454-2404
(405) 454-6371
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1065
OK
Other
Enumeration date
05/25/2006
Last updated
08/08/2016
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