person
Billy Grant Sanders, PA
Medical Physician Assistant in Choctaw, Oklahoma
NPI 1164597860

Billy Grant Sanders is a Medical Physician Assistant based in Choctaw, OK and is specialized in Medical. Billy Grant Sanders practices in Choctaw, OK and has the professional credentials of PA. The NPI Number for Billy Grant Sanders is 1164597860 and holds a License No. 1561 (Oklahoma).

The current practice location address for Billy Grant Sanders is 15809 Ne 23Rd St, Choctaw, OK and can be reached out via phone at 405-390-9600 and via fax at 405-390-9400.

Location: 15809 Ne 23Rd St, Choctaw, OK, 73020-0010
person
Provider Profile Details
NPI Number
1164597860
Provider Name
Billy Grant Sanders
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
15809 Ne 23Rd St, Choctaw, OK, 73020-0010
Phone Number
405-390-9600
Fax Number
405-390-9400
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OK400905 01 MEDICARE INDIVIDUAL PTAN
200100040A 05 OK
900522085 01 MEDICARE GROUP PTAN - CARY CARPENTER MD PC DBA CHOCTAW FAMILY MEDICINE
institution
Provider Business Practice Location Address Details
Address
15809 Ne 23Rd St
City
State
Zip
73020-8428
Phone Number
405-390-9600
Fax Number
405-390-9400
person
Provider Business Mailing Address Details
Address
15809 Ne 23Rd St
City
State
Zip
73020-8428
Phone Number
405-390-9600
Fax Number
405-390-9400
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1561 (Oklahoma)
Definition
Definition to come...
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