NPI 1790380749 · live from the CMS NPI Registry
Cole Anglin
Physician Assistant in Oklahoma City, OK. National Provider Identifier 1790380749, active.
NPI record
| NPI | 1790380749 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 940 Stanton L Young Blvd Ste 357, Oklahoma City, OK 73104 |
| Practice phone | 405-271-2058 |
| Mailing address | 1108 Ne 29th St, Moore, OK 73160 |
| Enumerated | November 30, 2020 |
| Last updated | November 30, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.