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NPI Code Detail

MEDICARE: CLAIRE AMELIA ROARTY PA-C

MEDICARE: CLAIRE AMELIA ROARTY PA-C
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 Assistant2900OK

General Provider Information

NPI Number : 1366943110
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE AMELIA ROARTY PA-C
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1200
Second Line :
City : TULSA
State : OK
Zip : 74136-3361
Country : US
Telephone Number : 918-488-6687
Fax Number : 918-488-6098
Provider Business Practice Location Address
First Line : 6135 S 90TH EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74133-6365
Country : US
Telephone Number : 539-367-1145
Fax Number : 539-367-1224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2018
Last Update Date : 01/31/2024

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Directions to “ CLAIRE AMELIA ROARTY PA-C” Practice Location

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