Individual
CHARLES ALLEN SEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 S ACADEMY RD, GUTHRIE, OK 73044
(405) 282-6700
(405) 282-4826
Mailing address
200 S ACADEMY RD, GUTHRIE, OK 73044-8727
(405) 282-6700
(405) 282-4826
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2912
OK
363A00000X
Physician Assistant
PA07352
TX
363AM0700X
Medical Physician Assistant
1702
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41985000
—
WI
01
—
P00623891
RAIL ROAD MEDICARE
WI
Enumeration date
06/16/2005
Last updated
08/22/2018
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