Provider Demographics
NPI:1750359675
Name:ARNOLD, RICK D (PA)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:D
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:580-977-1941
Mailing Address - Fax:580-234-8465
Practice Address - Street 1:915 E GARRIOTT RD
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-6156
Practice Address - Country:US
Practice Address - Phone:580-977-1941
Practice Address - Fax:580-234-8465
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2018-02-08
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Provider Licenses
StateLicense IDTaxonomies
OK2300363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100407070BMedicaid
P41576Medicare UPIN
KS100407070BMedicaid