NPI 1356163372 · live from the CMS NPI Registry
Riley Bane, PA-C
Physician Assistant in Oklahoma City, OK. National Provider Identifier 1356163372, active.
NPI record
| NPI | 1356163372 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 700 Ne 13th St, Oklahoma City, OK 73104 |
| Practice phone | 470-040-5271 |
| Mailing address | 2548 Nw 184th St, Edmond, OK 73012 |
| Enumerated | October 30, 2024 |
| Last updated | October 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 5344 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.