Individual
MRS. ANGELA MICHELE HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
38509 HIGHWAY 7 W, DAVIS, OK 73030-9619
(580) 368-3045
Mailing address
38509 HIGHWAY 7 W, DAVIS, OK 73030-9619
(580) 368-3045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65215
CA
363A00000X
Physician Assistant
PA3179
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200897140A
—
OK
Enumeration date
01/27/2020
Last updated
12/19/2025
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