Individual
MRS. SHERYL A GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3500 S. WESTERN, OKLAHOMA CITY, OK 73109-2413
(405) 632-5565
(405) 632-3538
Mailing address
3500 S. WESTERN, OKLAHOMA CITY, OK 73109-2413
(405) 632-5565
(405) 632-3538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA02795
TX
363A00000X
Physician Assistant
Primary
PA4416
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA02795
LICENSE
TX
Enumeration date
03/20/2007
Last updated
09/10/2020
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