Individual
ROLDON SANCHEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2002 12TH AVE NW, SUITE B, ARDMORE, OK 73401-1206
(580) 223-4795
(580) 223-5184
Mailing address
1015 S COMMERCE ST, SUITE B, ARDMORE, OK 73401-5018
(580) 223-4795
(580) 223-5184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA877
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200067040A
—
OK
01
—
970010036
RAILROAD MEDICARE
OK
Enumeration date
04/12/2006
Last updated
02/22/2017
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