Individual
AMELIA MONCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3839 S BOULEVARD STE 150, EDMOND, OK 73013-5370
(405) 449-8076
(405) 674-1574
Mailing address
3839 S BOULEVARD STE 150, EDMOND, OK 73013-5370
(405) 449-8076
(405) 674-1574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1144
OK
363AM0700X
Medical Physician Assistant
Primary
1144
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200046120A
—
OK
Enumeration date
03/02/2006
Last updated
09/08/2025
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