Individual
MADISON AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 S SUNNYLANE RD, DEL CITY, OK 73115-3018
(405) 677-2424
Mailing address
1221 S SUNNYLANE RD, DEL CITY, OK 73115-3018
(405) 677-2424
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4500
OK
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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