MRS. Codi Nicole Castleberry, PA

NPI #1922508266 in Owasso, Oklahoma

Provider Information

NPI Number: 1922508266
Entity Type: Individual
Name: MRS. Codi Nicole Castleberry, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 13, 2018
Last Updated: Jun 16, 2020

Practice Location

Address: 11426 N 134TH EAST AVE
City: Owasso
State: Oklahoma
ZIP Code: 74055-4715
Phone: (918) 376-6345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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