Individual
TROY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36640 US -270, WEWOKA, OK 74884
(405) 257-6282
Mailing address
615 S 12TH ST, HARTSHORNE, OK 74547-5001
(918) 308-0313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5165
OK
Other
Enumeration date
08/13/2021
Last updated
06/28/2024
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