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MR. TOD IRWIN ESTES PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1851580062

Individual Registrant:
MR. TOD IRWIN ESTES PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
403 REDBUD LN  CHELSEA, OK 74016-1453 US
Tel: 918-789-3146  Fax: 918-789-5650

Contact information for business:
403 REDBUD LN  CHELSEA, OK 74016-1453 US
Tel: 918-789-3146  Fax: 918-789-5650

Registration Information:
NPI: 1851580062
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
OK1653

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
200123860AOK05




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