Individual
MR. ARLYN GAIL WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
915 E GARRIOTT RD, SUITE I, ENID, OK 73701-6156
(580) 213-9781
(580) 213-9782
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 213-9781
(580) 213-9782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
584
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100195380A
—
OK
Enumeration date
07/27/2006
Last updated
02/12/2018
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