Whalio Doctors

NPI 1336253731

Ruth Elaine Fereday, PAC

Practitioner Physician Assistant Coalgate, OK

Practice location

Address
107 E Post Ave, Coalgate, OK 74538-3004
Phone
(580) 927-2828
Fax
(580) 258-3000
Mailing address
610 E 24th St, Tishomingo, OK 73460-3245

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 950 (OK)

Registry record

NPI
1336253731
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Aug 2006
Record last updated
8 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.