Whitley Virgil, P.A-C

NPI #1154788479 in Yukon, Oklahoma

Provider Information

NPI Number: 1154788479
Entity Type: Individual
Name: Whitley Virgil, P.A-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A-C
Enumeration Date: Jan 16, 2016
Last Updated: Jan 16, 2016

Practice Location

Address: 1804 COMMONS CIR
Address 2: SUITE B
City: Yukon
State: Oklahoma
ZIP Code: 73099-9524
Phone: (405) 577-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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