person
Mr. Joshua Derrell Corley, PA
Medical Physician Assistant in Ada, Oklahoma
NPI 1336194208

Joshua Derrell Corley is a Medical Physician Assistant based in Ada, OK and is specialized in Medical. Joshua Derrell Corley practices in Ada, OK and has the professional credentials of PA. The NPI Number for Joshua Derrell Corley is 1336194208 and holds a License No. PA1538 (Oklahoma).

The current practice location address for Joshua Derrell Corley is 721 Better Now Plz, Ada, OK and can be reached out via phone at 580-272-0025 and via fax at 580-272-6659. You can also correspond with Joshua Derrell Corley through the mailing address at 902 ARLINGTON CTR, ADA, OK - 74820-2883 (mailing address contact number: 580-272-0025).

Location: 721 Better Now Plz, Ada, OK, 74820-2883
person
Provider Profile Details
NPI Number
1336194208
Provider Name
Joshua Derrell Corley
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
721 Better Now Plz, Ada, OK, 74820-2883
Phone Number
580-272-0025
Fax Number
580-272-6659
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
245617201 01 OK MEDICARE
20083400A 05 OK
PA1538 01 OK PA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
721 Better Now Plz
City
Ada
State
Zip
74820-2279
Phone Number
580-272-0025
Fax Number
580-272-6659
person
Provider Business Mailing Address Details
Address
721 Better Now Plz
City
Ada
State
Zip
74820-2279
Phone Number
580-272-0025
Fax Number
580-272-6659
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1538 (Oklahoma)
Definition
Definition to come...
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