person
Mr. Erron Cody Proctor, PAC
Medical Physician Assistant in Konawa, Oklahoma
NPI 1427067859

Erron Cody Proctor is a Medical Physician Assistant based in Konawa, OK and is specialized in Medical. Erron Cody Proctor practices in Konawa, OK and has the professional credentials of PAC. The NPI Number for Erron Cody Proctor is 1427067859 and holds a License No. 1410 (Oklahoma).

The current practice location address for Erron Cody Proctor is 527 W 3Rd St, Konawa, OK and can be reached out via phone at 580-925-3286 and via fax at 580-925-2362.

Location: 527 W 3Rd St, Konawa, OK, 74849
person
Provider Profile Details
NPI Number
1427067859
Provider Name
Erron Cody Proctor
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
527 W 3Rd St, Konawa, OK, 74849
Phone Number
580-925-3286
Fax Number
580-925-2362
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200072810A 05 OK
institution
Provider Business Practice Location Address Details
Address
527 W 3Rd St
City
State
Zip
74849-1415
Phone Number
580-925-3286
Fax Number
580-925-2362
person
Provider Business Mailing Address Details
Address
527 W 3Rd St
City
State
Zip
74849-1415
Phone Number
580-925-3286
Fax Number
580-925-2362
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1410 (Oklahoma)
Definition
Definition to come...
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