Roeza Pllc

NPI #1124521851 in Edmond, Oklahoma

Provider Information

NPI Number: 1124521851
Entity Type: Organization
Organization Name: Roeza Pllc
Primary Specialty: Physician Assistant
Enumeration Date: Mar 8, 2018
Last Updated: Mar 8, 2018

Practice Location

Address: 15100 TRADITIONS BLVD STE 2
City: Edmond
State: Oklahoma
ZIP Code: 73013-1183
Phone: (405) 471-3698

Authorized Official

Name: RICHARD E HANSON JR., PA-C
Title: OWNER
Phone: (405) 640-9005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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