MR. Benny Ross Wofford, PA

NPI #1104871995 in Ada, Oklahoma

Provider Information

NPI Number: 1104871995
Entity Type: Individual
Name: MR. Benny Ross Wofford, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 23, 2006
Last Updated: Oct 30, 2025

Practice Location

Address: 1921 STONECIPHER BLVD
City: Ada
State: Oklahoma
ZIP Code: 74820-3439
Phone: (580) 436-3980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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