Individual
MR. BENNY ROSS WOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820-3439
(580) 436-3980
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820-3439
(580) 436-3980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1031
OK
Other
Enumeration date
05/23/2006
Last updated
10/30/2025
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