Samuel Isaac Bethea, PA-C

NPI #1992193676 in Claremore, Oklahoma

Provider Information

NPI Number: 1992193676
Entity Type: Individual
Name: Samuel Isaac Bethea, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 2, 2015
Last Updated: Feb 23, 2022

Practice Location

Address: 1071 W BLUE STARR DR STE 105
City: Claremore
State: Oklahoma
ZIP Code: 74017-2869
Phone: (918) 361-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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