| Mr Douglas Duffy, PAC | |
|
520 N Monte Vista St Ste C, Ada, OK 74820-4674 | |
| (580) 272-0018 | |
| (580) 272-0657 |
| Full Name | Mr Douglas Duffy |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 520 N Monte Vista St Ste C, Ada, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184707457 | NPI | - | NPPES |
| 200194390A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 5601002737 (Michigan) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 407 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Duffy, PAC 100 Mcdougal Dr, Holdenville, OK 74848-2822 Ph: (580) 272-0018 | Mr Douglas Duffy, PAC 520 N Monte Vista St Ste C, Ada, OK 74820-4674 Ph: (580) 272-0018 |
Travis L Teel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Lauren Little Axe, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-4552 | |
Ms. Mika Strong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 905 Colony Dr, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159 | |
Mr. Benny Ross Wofford, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 N Monte Vista St, Ada, OK 74820 Phone: 580-421-1127 Fax: 580-436-6674 | |
Mrs. Laurie Sue Paxson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 N Country Club Rd, Ada, OK 74820 Phone: 580-421-4570 Fax: 580-421-6283 | |
Jenny Simon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1001 N Country Club Rd, Ada, OK 74820 Phone: 580-436-3980 | |
Shante Marie Butts, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 |