Individual
TERRI M SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 CLIPPER XING, EDMOND, OK 73013-9003
(405) 209-0424
Mailing address
4600 CLIPPER XING, EDMOND, OK 73013-9003
(405) 470-6767
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
565
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100153900B
—
OK
Enumeration date
05/11/2006
Last updated
07/06/2012
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