Individual
CANDACE OEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A. -C.
Contact information
Practice address
13175 E HIGHWAY 169, DEWEY, AZ 86327-7372
(928) 632-0111
Mailing address
PO BOX 1046, DEWEY, AZ 86327-1046
(928) 632-8278
(928) 632-0105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2077
AZ
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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