Individual
LEE HALVOR SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2225 N UNION ST., PONCA CITY, OK 74601-1536
(918) 308-5515
(580) 749-5792
Mailing address
2225 N UNION ST., PONCA CITY, OK 74601-1536
(918) 308-5515
(580) 749-5792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1630
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1630
PA LICENSE
OK
Enumeration date
04/16/2007
Last updated
03/11/2021
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