Individual
ANITA KAY MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
921 NE 13TH ST, MAIL ROUTE 11G, RM # 4B-162, OKLAHOMA CITY, OK 73104-5007
(405) 552-4327
Mailing address
921 NE 13TH ST, MAIL ROUTE 11G, RM # 4B-162, OKLAHOMA CITY, OK 73104-5007
(405) 552-4327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037192
NCCPA
OK
Enumeration date
10/25/2006
Last updated
07/08/2007
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