MR. Willie J Street, P.A.-C
NPI #1215005244 in Tonkawa, Oklahoma
Provider Information
- NPI Number
- 1215005244
- Entity Type
- Individual
- Name
- MR. Willie J Street, P.A.-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- P.A.-C
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Mar 7, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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Organizations
| Provider Name | |
|---|---|
| Tonkawa Healthcare Systems PC |
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