Individual
SCOTT R INTERWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 S ACADEMY RD, GUTHRIE, OK 73044-8727
(405) 260-4245
(402) 282-8237
Mailing address
200 S ACADEMY RD, GUTHRIE, OK 73044-8727
(405) 260-4245
(402) 282-8237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OK
Other
Enumeration date
09/23/2013
Last updated
11/13/2018
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