| Amanda Percival, Pllc | |
|
1420 W Owen K. Garriott Bldg 1 Enid OK 73703 | |
| (405) 426-7434 | |
| Not Available |
| Full Name | Amanda Percival, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1420 W Owen K. Garriott Bldg 1, Enid, Oklahoma |
| Authorized Official Name and Position | Amanda Percival (OWNER) |
| Authorized Official Contact | 4054267434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Percival, Pllc Po Box 146 Enid OK 73702-0146 Ph: (405) 426-7434 | Amanda Percival, Pllc 1420 W Owen K. Garriott Bldg 1 Enid OK 73703 Ph: (405) 426-7434 |
| NPI Number | 1083154173 |
|---|---|
| Provider Enumeration Date | 03/08/2017 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083154173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6399 (Oklahoma) | Primary |
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