Deziray Swing Click, P.A.-C Valid NPI

Individual provider · Physician Assistant · Edmond, OK

NPI

1578854931

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

1473 (OK)

Sex

Female

Sole proprietor

Yes

Enumerated

2011-04-20

Last updated

2011-04-20