MS. Mindy Diane Ewert, PA-C

NPI #1982845863 in Tulsa, Oklahoma

Provider Information

NPI Number: 1982845863
Entity Type: Individual
Name: MS. Mindy Diane Ewert, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 23, 2009
Last Updated: Apr 12, 2016

Practice Location

Address: 4802 S 109TH EAST AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74146-5822
Phone: (918) 392-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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