Individual
MR. RONALD WAYNE SECOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
113 S RUSH STREET, RUSH SPRINGS, OK 73082-0277
(580) 476-2527
(580) 476-3707
Mailing address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 779-2721
(405) 779-2310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
728
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100053660B
—
OK
Enumeration date
06/14/2006
Last updated
08/16/2016
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