LIVEWELL HEALTHCARE

Physician Assistant

NPI: 1558258285Organization

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

Contact & Hours

Address: 205 HARRIS CIR STE 102
TAHLEQUAH, OK 74464
Phone: (719) 214-0270

Quick Facts

NPI: 1558258285
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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