Provider Demographics
NPI:1891761136
Name:PAPE, RANDALL ASHLEY (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RANDALL
Middle Name:ASHLEY
Last Name:PAPE
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:14024 QUAIL POINTE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-1006
Mailing Address - Country:US
Mailing Address - Phone:405-419-8447
Mailing Address - Fax:405-419-7745
Practice Address - Street 1:9800 BROADWAY EXTENSION
Practice Address - Street 2:SUITE 201
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114
Practice Address - Country:US
Practice Address - Phone:405-424-5426
Practice Address - Fax:405-424-5431
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2016-02-19
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical