Individual
ALYSHA A WEATHERHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2919 S DIVISION ST, GUTHRIE, OK 73044-6806
(405) 282-6301
(405) 282-6364
Mailing address
2919 S DIVISION ST, GUTHRIE, OK 73044-6806
(405) 282-6301
(405) 282-6364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2408
OK
Other
Enumeration date
01/09/2015
Last updated
12/31/2015
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