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Individual

KELLY ROSS MERCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(205) 731-9701
(205) 297-9411

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33502
OK
207L00000X
Anesthesiology Physician
MD.32640
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/09/2012
Last updated
03/11/2021
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