person
Mr. Jamie Shane Massengill, PA-C
Medical Physician Assistant in Edmond, Oklahoma
NPI 1952404238

Jamie Shane Massengill is a Medical Physician Assistant based in Edmond, OK and is specialized in Medical. Jamie Shane Massengill practices in Edmond, OK and has the professional credentials of PA-C. The NPI Number for Jamie Shane Massengill is 1952404238 and holds a License No. 1320 (Oklahoma).

The current practice location address for Jamie Shane Massengill is 7555 Winterwood Dr, Edmond, OK and can be reached out via phone at 405-990-5967. You can also correspond with Jamie Shane Massengill through the mailing address at 7555 WINTERWOOD DR, EDMOND, OK - 73025-1861 (mailing address contact number: 405-990-5967).

Location: 7555 Winterwood Dr, Edmond, OK, 73025-1861
person
Provider Profile Details
NPI Number
1952404238
Provider Name
Jamie Shane Massengill
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
7555 Winterwood Dr, Edmond, OK, 73025-1861
Phone Number
405-990-5967
Fax Number
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7555 Winterwood Dr
City
State
Zip
73025-1861
Phone Number
405-990-5967
Fax Number
person
Provider Business Mailing Address Details
Address
7555 Winterwood Dr
City
State
Zip
73025-1861
Phone Number
405-990-5967
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1320 (Oklahoma)
Definition
Definition to come...
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