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NPI Code Detail

MEDICARE: DONNA ROSS

MEDICARE: DONNA ROSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1821797580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA ROSS
Provider Business Mailing Address
First Line : PO BOX 892694
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73189-2694
Country : US
Telephone Number : 405-698-9611
Fax Number :
Provider Business Practice Location Address
First Line : 3701 E RENO AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-6609
Country : US
Telephone Number : 405-702-4325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2023
Last Update Date : 06/12/2025

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Directions to “ DONNA ROSS ” Practice Location

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