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Mr. Willie J Street, PA-C
Physician Assistant in Tonkawa, Oklahoma
NPI 1215005244

Willie J Street is a Physician Assistant based in Tonkawa, OK. Willie J Street practices in Tonkawa, OK and has the professional credentials of PA-C. The NPI Number for Willie J Street is 1215005244 and holds a License No. 631 (Oklahoma).

The current practice location address for Willie J Street is 600 E Grand Ave, Tonkawa, OK and can be reached out via phone at 580-628-4800.

Location: 600 E Grand Ave, Tonkawa, OK, 74653-0532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215005244
Provider Name
Willie J Street
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
600 E Grand Ave, Tonkawa, OK, 74653-0532
Phone Number
580-628-4800
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100101960G 05 OK
institution
Provider Business Practice Location Address Details
Address
600 E Grand Ave
City
Tonkawa
State
Oklahoma
Zip
74653-3545
Phone Number
580-628-4800
Fax Number
person
Provider Business Mailing Address Details
Address
600 E Grand Ave
City
Tonkawa
State
Oklahoma
Zip
74653-3545
Phone Number
580-628-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
631 (Oklahoma)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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