Individual
ELIZABETH EDITH BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 W TECUMSEH RD, SUITE 205, NORMAN, OK 73072-1810
(405) 360-7100
(405) 364-9112
Mailing address
2080 W STATE HIGHWAY 9, SUITE 205, NORMAN, OK 73072-9795
(405) 360-7100
(405) 364-9112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA806
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125270A
—
OK
Enumeration date
07/13/2005
Last updated
08/29/2016
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