Individual
ROGER BROX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
721 WESTRIDGE CT, YUKON, OK 73099-6729
(405) 324-0314
Mailing address
721 WESTRIDGE CT, YUKON, OK 73099-6729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0065109
OK
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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