Organization
ANDREW THYEN MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SOWDER CPC, CCP (COO)
(940) 384-6238
Entity
Organization
Contact information
Practice address
200 MELVILLE DR, PAULS VALLEY, OK 73075-6609
(405) 238-5555
Mailing address
200 MELVILLE DR, PAULS VALLEY, OK 73075-6609
(405) 238-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23873
OK
Other
Enumeration date
01/23/2007
Last updated
01/29/2008
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