Individual
DR. PHILLIP BRYAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 N COMMERCE ST, ARDMORE, OK 73401-3922
(580) 226-6978
Mailing address
1111 N COMMERCE ST, ARDMORE, OK 73401-3922
(580) 226-6978
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7702
OK
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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