Individual
MRS. KATIE LEIGH ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
7301 E NASHVILLE ST, BROKEN ARROW, OK 74014
(918) 595-2331
Mailing address
7301 E NASHVILLE ST, BROKEN ARROW, OK 74014-2980
(918) 595-2331
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/16/2011
Last updated
02/02/2019
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