Individual
MRS. CAROL SUE SCHMIDT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
301 J T STITES BLVD, SALLISAW, OK 74955-9302
(918) 775-9150
Mailing address
825 SOUTH KERR BVLD, SALLISAW, OK 74955
(918) 776-0263
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA475
OK
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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