Provider Demographics
NPI:1962754218
Name:MESSICK, ALINA MARIE (PA-C)
Entity type:Individual
Prefix:MS
First Name:ALINA
Middle Name:MARIE
Last Name:MESSICK
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5310 E 31ST ST FL 13
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5018
Mailing Address - Country:US
Mailing Address - Phone:918-561-5701
Mailing Address - Fax:918-561-1173
Practice Address - Street 1:5310 E 31ST ST FL 11 STE 1102
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5018
Practice Address - Country:US
Practice Address - Phone:918-561-1890
Practice Address - Fax:918-561-1889
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2022-03-30
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
MDC0004899363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant