Susan D Worsham, PA
Medical Physician Assistant in Oklahoma City, Oklahoma
NPI 1245233113

Susan D Worsham is a Medical Physician Assistant based in Oklahoma City, OK and is specialized in Medical. Susan D Worsham practices in Oklahoma City, OK and has the professional credentials of PA. The NPI Number for Susan D Worsham is 1245233113 and holds a License No. (Oklahoma).

The current practice location address for Susan D Worsham is 3300 Nw Expressway Fl 2, Oklahoma City, OK and can be reached out via phone at 405-949-3417 and via fax at 405-552-5165. You can also correspond with Susan D Worsham through the mailing address at 5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK - 73112-5555 (mailing address contact number: 405-949-3417).

person
Provider Profile Details
NPI Number
1245233113
Provider Name
Susan D Worsham
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3300 Nw Expressway Fl 2, Oklahoma City, OK, 73112-5555
Phone Number
405-949-3417
Fax Number
405-552-5165
Provider Enumeration Date
05/24/2005
Last Update Date
07/07/2019
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00145015 01 OK RAILROAD MEDICARE
100107320A 05 OK
institution
Provider Business Practice Location Address Details
Address
3300 Nw Expressway Fl 2
City
State
Zip
73112-4418
Phone Number
405-949-3417
Fax Number
405-552-5165
person
Provider Business Mailing Address Details
Address
5300 N Independence Ave Ste 280
City
State
Zip
73112-5555
Phone Number
405-949-3417
Fax Number
405-552-5165
person
Provider's Primary Taxonomy Details
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...

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