Mrs. CODI NICOLE CASTLEBERRY PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1922508266- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 11426 N 134TH EAST AVE, OWASSO, OK, 740554715
- Phone
- (918) 376-6345
- Fax
- (918) 376-6635
Specialties & Taxonomies
Physician Assistant
Primary License: OK #2891