MRS. Sally Marie Roark, PA-C

NPI #1952368961 in Norman, Oklahoma

Provider Information

NPI Number: 1952368961
Entity Type: Individual
Name: MRS. Sally Marie Roark, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 26, 2006
Last Updated: Feb 28, 2014

Practice Location

Address: 3400 W TECUMSEH RD STE 101
City: Norman
State: Oklahoma
ZIP Code: 73072-1810
Phone: (405) 360-6764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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