Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN DWAYNE ROSS
Active Sole ProprietorJUSTIN DWAYNE ROSS is a Substance Abuse Rehabilitation Facility healthcare provider located in CANADIAN, Oklahoma. NPI 1023420098 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · CANADIAN, OK
Registration Details
- NPI Number
- 1023420098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2014 (12.173859334762 yrs)
- Last Updated
- May 27, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
69 ARROWHEAD LOOPCANADIAN, OK, 744255012Browse OK providers · Browse ZIP 74425
- Phone
- 9183395800
- Fax
- 9183395801
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in CANADIAN, OK
| Name | Credential | NPI |
|---|---|---|
| KALON JAMES TAYLOR | — | 1073924817 |
| TALIN GUIRAGOSIAN-SCHOTTERS | — | 1902217680 |
| LARRY JONES | — | 1750792420 |
| STEPHANY LORENE MCGLUGRITCH | — | 1962813501 |
| JANET T WATKINS | — | 1285045807 |
| KIMBERLY IRENE COOPER | — | 1194137463 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.