Individual
JAMES SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2515 W ELK AVE, DUNCAN, OK 73533-1571
(580) 252-6080
Mailing address
815 N 13TH ST, DUNCAN, OK 73533-4041
(918) 605-2764
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1981
OK
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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