person
Charles Michael Worsham, PA
Medical Physician Assistant in Tulsa, Oklahoma
NPI 1922065291

Charles Michael Worsham is a Medical Physician Assistant based in Tulsa, OK and is specialized in Medical. Charles Michael Worsham practices in Tulsa, OK and has the professional credentials of PA. The NPI Number for Charles Michael Worsham is 1922065291 and holds a License No. 570 (Oklahoma).

The current practice location address for Charles Michael Worsham is 6100 S Yale Blvd, Tulsa, OK and can be reached out via phone at 918-502-3939.

Location: 6100 S Yale Blvd, Tulsa, OK, 74121-2063
person
Provider Profile Details
NPI Number
1922065291
Provider Name
Charles Michael Worsham
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
6100 S Yale Blvd, Tulsa, OK, 74121-2063
Phone Number
918-502-3939
Fax Number
Provider Enumeration Date
04/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100165960A 05 OK
970019450 01 OK RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
6100 S Yale Blvd
City
State
Zip
74129-5101
Phone Number
918-502-3939
Fax Number
person
Provider Business Mailing Address Details
Address
6100 S Yale Blvd
City
State
Zip
74129-5101
Phone Number
918-502-3939
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
570 (Oklahoma)
Definition
Definition to come...
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