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Mckinley Boatner, PA
Medical Physician Assistant in Oklahoma City, Oklahoma
NPI 1508840695

Mckinley Boatner is a Medical Physician Assistant based in Midwest City, OK and is specialized in Medical. Mckinley Boatner practices in Oklahoma City, OK and has the professional credentials of PA. The NPI Number for Mckinley Boatner is 1508840695 and holds a License No. 578 (Oklahoma).

The current practice location address for Mckinley Boatner is 1901 Springlake Dr, Oklahoma City, OK and can be reached out via phone at 405-521-8486 and via fax at 405-521-8496. You can also correspond with Mckinley Boatner through the mailing address at PO BOX 30589, MIDWEST CITY, OK - 73140-3589 (mailing address contact number: 405-769-3301).

Location: 1901 Springlake Dr, Oklahoma City, OK, 73140-3589
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Provider Profile Details
NPI Number
1508840695
Provider Name
Mckinley Boatner
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1901 Springlake Dr, Oklahoma City, OK, 73140-3589
Phone Number
405-521-8486
Fax Number
405-521-8496
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
578 01 OK PA LICENSE
200013400A 05 OK
200013400B 05 OK
200013400C 05 OK
institution
Provider Business Practice Location Address Details
Address
1901 Springlake Dr
City
State
Zip
73111-5201
Phone Number
405-521-8486
Fax Number
405-521-8496
person
Provider Business Mailing Address Details
Address
Po Box 30589
City
State
Zip
73140-3589
Phone Number
405-769-3301
Fax Number
405-769-9685
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
578 (Oklahoma)
Definition
Definition to come...
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