RALPH EUGENE FOUNTAIN

OKLAHOMA CITY, OK
NPI1578562328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  PA498)
Enumeration Date2005-07-14
Last Update Date2017-12-28
Business Address
RALPH EUGENE FOUNTAIN PA
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114-7408
Phone number: 405-230-9000
Mailing Address
RALPH EUGENE FOUNTAIN PA
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114-7408
Phone number: 405-230-9000
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