Individual
DR. PATRICK JAMES ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 ROCKEFELLER DR STE 201, MUSKOGEE, OK 74401-5050
(918) 682-4580
(918) 681-4566
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27227
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200247530A
—
OK
01
—
221178
LIMITED STATE LICENSE
MA
01
—
27227
STATE LICENSE
OK
Enumeration date
04/29/2009
Last updated
03/29/2021
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