Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAELOR BAETZ, PA
ActivePhysician Assistant · PONCA CITY, OK
Registration Details
- NPI Number
- 1881385656
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2023 (2.9359182582304 yrs)
- Last Updated
- Jul 10, 2024
- License
-
5266 (OK)
Practice Information
- Address
-
415 FAIRVIEW AVE STE 201PONCA CITY, OK, 746011932Browse OK providers · Browse ZIP 74601
- Phone
- 5807629355
- Fax
- 5807629358
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PONCA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| PARNELL RAY ADAMS | PA-C | 1801810783 |
| LEE HALVOR SIMPSON | PA-C | 1467677492 |
| JENNA SPECHT | PA-C | 1730705229 |
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.