NPI 1073289583

Elizabeth Bross, PAC

Practitioner Physician Assistant Bethany, OK

Practice location

Address: 6800 NW 39th Expy, Bethany, OK 73008-2513
Phone: (405) 789-6711
Fax: (405) 349-5145

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 4931 (OK)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1073289583
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2021
Record last updated: 19 Feb 2026

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.