MICHAEL SELF

OKLAHOMA CITY, OK
NPI1902982036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  PA262)
Enumeration Date2006-10-31
Last Update Date2007-07-08
Business Address
-- MICHAEL SELF PA
921 NE 13TH ST
OKLAHOMA CITY, OK 73104-5007
Phone number: 405-270-0501
Mailing Address
-- MICHAEL SELF PA
3913 BRIDLE PATH RD.
YUKON, OK 73099
Phone number:
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