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Individual

SCOTT EVAN HASSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436
Mailing address
8100 S WALKER AVE BLDG A, OKLAHOMA CITY, OK 73139-9475
(405) 632-4468
(405) 632-0436

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2059
OK
363AM0700X
Medical Physician Assistant
2059
OK
363AS0400X
Surgical Physician Assistant
2059
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2059
MEDICAL LICENSE
OK
Enumeration date
12/19/2011
Last updated
04/23/2019
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