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Individual

JAMES M ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 S UTICA AVE, PALLIATIVE CARE DEPT, TULSA, OK 74104-4012
(918) 579-3871
(918) 579-3809
Mailing address
1120 S UTICA AVE, PALLIATIVE CARE DEPT, TULSA, OK 74104-4012
(918) 579-3871
(918) 579-3809

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21872
OK
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
21872
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100148490A
OK
Enumeration date
01/30/2006
Last updated
12/03/2015
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