Individual
MRS. ANGELA DAWN CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1815 W 6TH AVE, STILLWATER, OK 74074-4202
(405) 743-7300
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3347
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2142
OK
363AS0400X
Surgical Physician Assistant
PENDING
KS
Other
Enumeration date
07/01/2009
Last updated
07/31/2012
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