Individual
ERICA CAMILLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 S PARK LN, ALTUS, OK 73521-5733
(580) 482-9020
(580) 480-3113
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(580) 482-9020
(580) 480-3113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2403
OK
Other
Enumeration date
01/29/2014
Last updated
02/03/2016
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