Individual
JEFFERY THOMAS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6132
(580) 220-6772
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
8351
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
726840
TEXAS MEDICAL BOARD
TX
Enumeration date
04/06/2021
Last updated
07/25/2025
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