Individual
MS. CANDICE R BREEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4120 W MEMORIAL RD, SUITE 300, OKLAHOMA CITY, OK 73120-9322
(405) 748-3300
(877) 657-5008
Mailing address
1701 RENAISSANCE BLVD STE 110, EDMOND, OK 73013-3084
(405) 844-4978
(405) 844-0562
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1512
OK
Other
Enumeration date
05/12/2006
Last updated
09/16/2019
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