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Mikaela Ann Altis, PA-C
Medical Physician Assistant in Clinton, Oklahoma
NPI 1366053241

Mikaela Ann Altis is a Medical Physician Assistant based in Amarillo, OK and is specialized in Medical. Mikaela Ann Altis practices in Clinton, OK and has the professional credentials of PA-C. The NPI Number for Mikaela Ann Altis is 1366053241 and holds a License No. (Oklahoma).

The current practice location address for Mikaela Ann Altis is 315 W Gary Blvd, Clinton, OK and can be reached out via phone at 580-547-0900. You can also correspond with Mikaela Ann Altis through the mailing address at 8801 TARTER AVE APT 623, AMARILLO, TX - 79119-6360 (mailing address contact number: 913-832-3679).

Location: 315 W Gary Blvd, Clinton, OK, 79119-6360
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Provider Profile Details
NPI Number
1366053241
Provider Name
Mikaela Ann Altis
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
315 W Gary Blvd, Clinton, OK, 79119-6360
Phone Number
580-547-0900
Fax Number
Provider Enumeration Date
08/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 W Gary Blvd
City
State
Zip
73601-2835
Phone Number
580-547-0900
Fax Number
person
Provider Business Mailing Address Details
Address
8801 Tarter Ave Apt 623
City
State
Zip
79119-6360
Phone Number
913-832-3679
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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