Individual
RICHARD CLAY TESSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
10 SOUTH TREATY ROAD, MIAMI, OK 74354
(918) 542-6644
Mailing address
735 NORTH FOREMAN, VINITA, OK 74301
(918) 256-0193
(918) 256-4140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1285
OK
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20026230B
—
OK
Enumeration date
01/06/2006
Last updated
01/28/2008
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