| Michael Klose, | |
|
7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | |
| (405) 734-2778 | |
| (405) 736-3128 |
| Full Name | Michael Klose |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 7050 Air Depot Blvd, Tinker Afb, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053717975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Klose, 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 Ph: (405) 734-2778 | Michael Klose, 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 Ph: (405) 734-2778 |
James Neal Dillard Iii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7050 Air Depot Blvd, Tinker Afb, OK 73145 Phone: 405-582-6252 | |
Ms. Shilana Kowack, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot Blvd, Tinker Afb, OK 73145 Phone: 405-734-2778 | |
Caitlin Elizabeth Michael, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5700 Arnold St, 72mdg/sgol, Tinker Afb, OK 73145 Phone: 405-736-2700 | |
Mr. Shaun Mark Saunders, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145 Phone: 405-734-2778 | |
Luke Andrew Russell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7050 Air Depot Blvd Bldg 1040, Tinker Afb, OK 73145 Phone: 405-734-2778 | |
Rebecca G Prim, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot, Bldg 1094, Tinker Afb, OK 73145 Phone: 405-582-6610 Fax: 405-736-3619 |