RALPH FOUNTAIN, PA

PA

Physician Assistant

NPI: 1578562328IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA498(OK)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 1987

Contact & Hours

Via practice · 2 locations total

Address: 9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114
Phone: (405) 230-9000

Locations (2)

Practice Location

9600 BROADWAY EXT, OKLAHOMA CITY, OK

Practice Location

1110 N LEE AVE, OKLAHOMA CITY, OK

Quick Facts

NPI: 1578562328
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 2
Years in Practice: 39

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