Individual
MISS BETHANY GAYLE BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
1509 NW 185TH ST, EDMOND, OK 73012-4049
(405) 509-2292
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA739
OK
Other
Enumeration date
08/30/2006
Last updated
12/10/2010
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