Individual
NIKKI ZYBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
210 SW 89TH ST, OKLAHOMA CITY, OK 73139-8503
(405) 631-0663
(405) 631-7047
Mailing address
210 SW 89TH ST, OKLAHOMA CITY, OK 73139-8532
(405) 631-0663
(405) 631-7047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1104
OK
Other
Enumeration date
05/10/2007
Last updated
02/03/2016
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