Individual
CAROLINE M O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
825 NE 10TH ST, OUPB 5200, OKLAHOMA CITY, OK 73104-5417
(405) 271-1515
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1581
OK
Other
Enumeration date
02/27/2007
Last updated
10/05/2009
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