Individual
ADRIENNE ALLISON MARTIN-DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4140 W MEMORIAL RD, STE 618, OKLAHOMA CITY, OK 73120-8366
(405) 751-1530
Mailing address
3435 NW 56TH ST, STE 404, OKLAHOMA CITY, OK 73112-4414
(405) 751-1530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
721
OK
Other
Enumeration date
10/15/2009
Last updated
10/06/2017
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