Paige Elizabeth Beverly, PA-C

NPI #1962869313 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1962869313
Entity Type: Individual
Name: Paige Elizabeth Beverly, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: PA-C
Enumeration Date: Jan 15, 2016
Last Updated: Oct 17, 2018

Practice Location

Address: 13100 N WESTERN AVE STE 301
City: Oklahoma City
State: Oklahoma
ZIP Code: 73114-1432
Phone: (405) 947-6647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Physician Assistant - Medical — Medical	363AM0700X
Dermatology	207N00000X	Primary

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