Individual
ASHLEY MARIE THOMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3080
Mailing address
75 YELLOWBRICK RD, DURANT, OK 74701-5087
(214) 274-9837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1831
OK
363A00000X
Physician Assistant
PA04385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831
STATE LICENSE
OK
01
—
PA04385
PHYSICIAN ASSISTANTS
TX
Enumeration date
08/20/2006
Last updated
05/11/2018
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