Individual
MARTY VIEFHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 920-2100
(580) 924-7215
Mailing address
1001 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 421-4570
(580) 924-7215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
951
OK
Other
Enumeration date
12/29/2005
Last updated
12/06/2010
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