Individual
MR. TOD IRWIN ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
403 REDBUD LN, CHELSEA, OK 74016-1453
(918) 789-3146
(918) 789-5650
Mailing address
403 REDBUD LN, CHELSEA, OK 74016-1453
(918) 789-3146
(918) 789-5650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1653
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123860A
—
OK
Enumeration date
10/24/2007
Last updated
02/02/2016
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