Individual
SARAH VISCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 NW 31ST ST, 2ND FLOOR, LAWTON, OK 73505
(580) 357-3671
(580) 357-1256
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 2680
OK
Other
Enumeration date
08/23/2016
Last updated
07/21/2022
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