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CODI CASTLEBERRY, PA

PA

Physician Assistant

NPI: 1922508266IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

2891(OK)

CMS Specialties

Education

OTHER

Class of 2017

Contact & Hours

Address
11426 N 134TH EAST AVE
OWASSO, OK 74055

Quick Facts

NPI
1922508266
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
9

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