Individual
DEBRA LOU TOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
808 S 52ND ST, ROGERS, AR 72758-8602
(479) 587-1700
(479) 587-1366
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-432
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197618795
—
AR
05
—
200813880A
—
OK
01
—
762814
MEDICARE
AR
Enumeration date
01/31/2011
Last updated
03/30/2020
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