Individual
JOE RANDALL MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4805 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3835
(405) 636-1506
(405) 636-1511
Mailing address
4805 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3835
(405) 636-1506
(405) 636-1511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1052
OK
Other
Enumeration date
07/14/2005
Last updated
10/22/2013
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