Organization
ROEZA PLLC
Active
Other names
Sante Clinic and Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E HANSON JR. PA-C (OWNER)
(405) 640-9005
Entity
Organization
Contact information
Practice address
15100 TRADITIONS BLVD STE 2, EDMOND, OK 73013-1183
(405) 471-3698
Mailing address
19416 CADE CT, EDMOND, OK 73012-4163
(405) 640-9005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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