Individual
MRS. ELIZABETH OAKLEY HAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1322 KLABZUBA AVE, PRAGUE, OK 74864-4900
(405) 567-4922
Mailing address
1322 KLABZUBA AVE, PRAGUE, OK 74864-4900
(405) 567-4922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3213
OK
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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