Suzzie J Waldenville, P.A.-C

NPI #1386701696 in Stigler, Oklahoma

Provider Information

NPI Number: 1386701696
Entity Type: Individual
Name: Suzzie J Waldenville, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Jan 3, 2007
Last Updated: Apr 30, 2009

Practice Location

Address: 401 NW H ST
City: Stigler
State: Oklahoma
ZIP Code: 74462-1625
Phone: (918) 967-4682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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