Individual
PARNELL RAY ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2101 N 14TH ST, STE 114, PONCA CITY, OK 74601-1807
(580) 762-1552
Mailing address
2101 N 14TH ST, STE 114, PONCA CITY, OK 74601-1807
(580) 762-1552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
798
OK
Other
Enumeration date
07/26/2006
Last updated
03/06/2008
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