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NPI Code Detail

MEDICARE: SARAH J. EARLEY PA-C

MEDICARE: SARAH J. EARLEY 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 Assistant1335OK

General Provider Information

NPI Number : 1477650349
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH J. EARLEY PA-C
Provider Business Mailing Address
First Line : PO BOX 53188
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73152-3188
Country : US
Telephone Number : 405-271-2720
Fax Number :
Provider Business Practice Location Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-2720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/09/2007

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Directions to “ SARAH J. EARLEY PA-C” Practice Location

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