Individual
JEREMY MICHAEL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
329 S 38TH ST, MUSKOGEE, OK 74401-4945
(918) 687-9999
(918) 686-7078
Mailing address
329 S 38TH ST, MUSKOGEE, OK 74401-4945
(918) 687-9999
(918) 686-7078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31424
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200595230
—
OK
Enumeration date
05/14/2015
Last updated
11/19/2025
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