person
Tara Gleaves, PA
Medical Physician Assistant in Oklahoma City, Oklahoma
NPI 1801061353

Tara Gleaves is a Medical Physician Assistant based in Oklahoma City, OK and is specialized in Medical. Tara Gleaves practices in Oklahoma City, OK and has the professional credentials of PA. The NPI Number for Tara Gleaves is 1801061353 and holds a License No. 1727 (Oklahoma).

The current practice location address for Tara Gleaves is 3500 S Western Ave, Oklahoma City, OK and can be reached out via phone at 405-632-5565 and via fax at 405-632-3538.

Location: 3500 S Western Ave, Oklahoma City, OK, 73109-2413
person
Provider Profile Details
NPI Number
1801061353
Provider Name
Tara Gleaves
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3500 S Western Ave, Oklahoma City, OK, 73109-2413
Phone Number
405-632-5565
Fax Number
405-632-3538
Provider Enumeration Date
04/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3500 S Western Ave
City
State
Zip
73109-2413
Phone Number
405-632-5565
Fax Number
405-632-3538
person
Provider Business Mailing Address Details
Address
3500 S Western Ave
City
State
Zip
73109-2413
Phone Number
405-632-5565
Fax Number
405-632-3538
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1727 (Oklahoma)
Definition
Definition to come...
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