Individual
ANNETTE WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
825 NE 10TH ST, OUPB 4500, OKLAHOMA CITY, OK 73104-5417
(405) 271-5789
(405) 271-1001
Mailing address
1122 NE 13TH ST, ORI 274, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
(405) 271-1001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
367
OK
Other
Enumeration date
06/08/2005
Last updated
12/10/2013
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