Individual
MISTY J HARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
116 SW 2ND ST, CHECOTAH, OK 74426-3602
(918) 473-2278
Mailing address
116 SW 2ND ST, CHECOTAH, OK 74426-3602
(918) 473-2278
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 1113
OK
Other
Enumeration date
01/19/2006
Last updated
11/30/2010
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