Individual
MS. HEATHER ELIZABETH HASENMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 OAK STREET, TAFT, OK 74463-0315
(918) 683-8365
(918) 686-7201
Mailing address
400 OAK STREET, TAFT, OK 74463-0315
(918) 683-8365
(918) 686-7201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2429
OK
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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