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NPI Code Detail

MEDICARE: MARCIA R PALMER PA

MEDICARE: MARCIA R PALMER 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 AssistantPA844OK

Other Identifiers

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

General Provider Information

NPI Number : 1003884750
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA R PALMER PA
Provider Business Mailing Address
First Line : 2525 NW EXPRESSWAY
Second Line : STE 610
City : OKLAHOMA CITY
State : OK
Zip : 73112-7251
Country : US
Telephone Number : 405-286-9465
Fax Number : 405-286-9462
Provider Business Practice Location Address
First Line : 4401 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3413
Country : US
Telephone Number : 405-713-4740
Fax Number : 405-713-2974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 05/11/2017

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1518942622 — DR. MILES C LANGMACHER III MD
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1639156565 — DR. STEVEN MICHAEL LEITCH M.D.
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Directions to “ MARCIA R PALMER PA” Practice Location

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