Individual
MRS. AMIE MELISA TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
508 W VANDAMENT AVE STE 210, YUKON, OK 73099-4666
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
APA1970
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529590YRKN
—
OK
Enumeration date
12/17/2010
Last updated
10/03/2024
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