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Individual

ASHLEY MORGAN GARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2000 E 15TH ST STE 400A, EDMOND, OK 73013-6673
(405) 341-1697
(405) 341-2672
Mailing address
2900 S TELEPHONE RD STE 250, MOORE, OK 73160-2969
(405) 237-7500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3007
OK
363AM0700X
Medical Physician Assistant
3007
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200831360A
OK
Enumeration date
09/08/2017
Last updated
03/24/2021
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