NPI 1457654519

Mary A. Ross, PAC

Practitioner Physician Assistant Chickasha, OK

Practice location

Address: 2100 W Iowa Ave Suite a, Chickasha, OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2244

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1949 (OK)

Other Physician Assistant providers in Oklahoma →

Registry record

NPI: 1457654519
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2010
Record last updated: 16 Aug 2016

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.