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NPI Code Detail

MEDICARE: VICKIE L MCBEE PA

MEDICARE: VICKIE L MCBEE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant616OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811958846
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE L MCBEE PA
Provider Business Mailing Address
First Line : 1401 W PAWNEE ST
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-3033
Country : US
Telephone Number : 918-358-2501
Fax Number : 918-358-9274
Provider Business Practice Location Address
First Line : 1401 W PAWNEE ST
Second Line :
City : CLEVELAND
State : OK
Zip : 74020-3033
Country : US
Telephone Number : 918-358-2501
Fax Number : 918-358-9274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 02/09/2015

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Directions to “ VICKIE L MCBEE PA” Practice Location

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