Individual
TAYLOR PAIGE TAMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
825 E ROBINSON ST, NORMAN, OK 73071-6610
(405) 364-7900
Mailing address
4909 SW 122ND TER, OKLAHOMA CITY, OK 73173-7034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
OK
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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