JEANNE A RODER, P.A.-C, Medical OKLAHOMA CITY, OK

Contact Information

JEANNE A RODER, P.A.-C

525 SW 80TH ST
SUITE 200
OKLAHOMA CITY, OK 73139

Phone: 405-631-0481
Fax: 405-631-9025
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JEANNE A RODER · (Female)

NPI #	`1285691287`
Status	Active
Credentials	P.A.-C
Entity	Individual
Enumeration date	04/26/2006
Last updated	08/21/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	OK License # 1115 OK Medicaid 100191990A OK Other 970018299 RAILROAD MEDICARE
Hospital affiliation(s)	INTEGRIS SOUTHWEST MEDICAL CENTER - (Acute Care) 4401 SOUTH WESTERN AVENUE OKLAHOMA CITY, OK 73109 OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP - (Acute Care) 330 SOUTHWEST 80TH STREET OKLAHOMA CITY, OK 73139

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JEANNE A RODER, P.A.-C – NPI #1285691287Medical

Contact Information

Specialty

Medical

NPI Profile & details for JEANNE A RODER · (Female)

Reviews for JEANNE A RODER

JEANNE A RODER, P.A.-C – NPI #1285691287
Medical