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Ms. Jeanne Alice Roder, PA-C
Medical Physician Assistant in Oklahoma City, Oklahoma
NPI 1285691287

Jeanne Alice Roder is a Medical Physician Assistant based in Oklahoma City, OK and is specialized in Medical. Jeanne Alice Roder practices in Oklahoma City, OK and has the professional credentials of PA-C. The NPI Number for Jeanne Alice Roder is 1285691287 and holds a License No. 1115 (Oklahoma).

The current practice location address for Jeanne Alice Roder is 525 Sw 80Th St, Oklahoma City, OK and can be reached out via phone at 405-631-0481 and via fax at 405-631-9025. You can also correspond with Jeanne Alice Roder through the mailing address at 525 SW 80TH ST, OKLAHOMA CITY, OK - 73139 (mailing address contact number: 405-631-0481).

Location: 525 Sw 80Th St, Oklahoma City, OK, 73139
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Provider Profile Details
NPI Number
1285691287
Provider Name
Jeanne Alice Roder
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
525 Sw 80Th St, Oklahoma City, OK, 73139
Phone Number
405-631-0481
Fax Number
405-631-9025
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100191990A 05 OK
970018299 01 OK RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
525 Sw 80Th St
City
State
Zip
73139
Phone Number
405-631-0481
Fax Number
405-631-9025
person
Provider Business Mailing Address Details
Address
525 Sw 80Th St
City
State
Zip
73139
Phone Number
405-631-0481
Fax Number
405-631-9025
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1115 (Oklahoma)
Definition
Definition to come...
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