Individual
ELIZABETH BROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
(405) 349-5145
Mailing address
6800 NW 39TH EXPY, BETHANY, OK 73008-2513
(405) 789-6711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4931
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2021
Last updated
02/19/2026
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