Individual
AMIR RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
925 NE 13TH STREET,, CHO 2MR2000D,, OKLAHOMA CITY, OK 73104-5068
(405) 271-6458
Mailing address
14108 SMITHURST RD, EDMOND, OK 73013-7250
(405) 478-2502
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1995
OK
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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