MRS. Aerial Chanel Anthony

NPI #1205200789 in Tulsa, Oklahoma

Provider Information

NPI Number: 1205200789
Entity Type: Individual
Name: MRS. Aerial Chanel Anthony
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 19, 2015
Last Updated: Jan 19, 2016

Practice Location

Address: 1919 S WHEELING AVE
Address 2: SUITE 200
City: Tulsa
State: Oklahoma
ZIP Code: 74104-5638
Phone: (918) 748-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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