Individual
DUSTIN J. OXFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
17941 W GRANDVIEW RD, TAHLEQUAH, OK 74464-1012
(918) 261-2703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1766
OK
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/15/2008
Last updated
07/29/2011
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