Individual
NITA L CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
710 S 13TH, BLACKWELL, OK 74631
(580) 363-9473
Mailing address
601 HUNT CLUB RD, BLANCHARD, OK 73010-5063
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1217
OK
Other
Enumeration date
07/14/2006
Last updated
11/29/2011
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