Individual
ALEX E MEDGAARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16325 N MAY AVE STE B6, EDMOND, OK 73013-9142
(405) 920-3901
(405) 920-3899
Mailing address
16325 N MAY AVE STE B6, EDMOND, OK 73013-9142
(405) 920-3901
(405) 920-3899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1876
OK
Other
Enumeration date
01/26/2010
Last updated
02/02/2022
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