Pasa

NPI #1982232419 in Sayre, Oklahoma

Provider Information

NPI Number: 1982232419
Entity Type: Organization
Organization Name: Pasa
Primary Specialty: Physician Assistant
Enumeration Date: Mar 30, 2020
Last Updated: Mar 30, 2020

Practice Location

Address: 1002 NE HIGHWAY 66 STE 3
City: Sayre
State: Oklahoma
ZIP Code: 73662-9312
Phone: (580) 706-0511

Authorized Official

Name: RANDY E. BENISH, PA
Title: PHYSICIAN ASSISTANT / OWNER
Phone: (580) 706-0511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Physician Assistant	363A00000X	Primary

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