Willie Street, P.A.-C

NPI 1215005244 · on the registry since 2006 · sole proprietor

Practice

Address: 600 E Grand Ave
Tonkawa, OK 74653
Phone: (580) 628-4800
Organisation at this address: Blackwell Hmpn, Llc
Ronald R Walcher Md Inc
Tonkawa Healthcare Systems Pc
Wheatheart Medical Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma