Individual
AMY ELIZABETH MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
202 A ST SW, MIAMI, OK 74354-7604
(918) 541-9400
(918) 541-9411
Mailing address
202 A ST SW, MIAMI, OK 74354-7604
(918) 541-9400
(918) 541-9411
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
APA1624
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200107870A
—
OK
05
—
200468380Y
—
OK
Enumeration date
01/23/2007
Last updated
05/21/2014
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