Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ERRON CODY PROCTOR, PAC
ActiveMR. ERRON CODY PROCTOR, PAC is a Medical Physician Assistant healthcare provider located in KONAWA, Oklahoma. NPI 1427067859 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · KONAWA, OK
Registration Details
- NPI Number
- 1427067859
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2006 (20.003807339306 yrs)
- Last Updated
- Nov 19, 2021
- License
-
1410 (OK)
Practice Information
- Address
-
527 W 3RD STKONAWA, OK, 748491415Browse OK providers · Browse ZIP 74849
- Phone
- 5809253286
- Fax
- 5809252362
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.