Individual
NICHOLAS A MIETUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
309 SE FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74003-3643
(918) 214-8888
(918) 214-8887
Mailing address
309 SE FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74003-3643
(918) 214-8888
(918) 214-8887
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2854
OK
363A00000X
Physician Assistant
—
OK
Other
Enumeration date
12/27/2017
Last updated
01/04/2023
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