Provider Demographics
NPI:1841599115
Name:MCDONALD, AMY S (PA-C)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:S
Last Name:MCDONALD
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1145 S UTICA AVE
Mailing Address - Street 2:#1105
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4000
Mailing Address - Country:US
Mailing Address - Phone:918-579-5781
Mailing Address - Fax:918-560-5791
Practice Address - Street 1:1145 S UTICA AVE
Practice Address - Street 2:#1105
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4000
Practice Address - Country:US
Practice Address - Phone:918-579-5781
Practice Address - Fax:918-560-5791
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant