Most Relevant Information
Provider Data
| NPI Number: | 1003582842 |
| Provider Name: | MATTHEW CADE BROSS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 4979 |
Most Important Dates
| Enumeration Date: | 08/20/2021 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY
OK
731208382
Practice Location Phone/Fax
| Phone: | 4056083800 |
| Fax: |
Provider Mailing Location
7800 NW 85TH TER
OKLAHOMA CITY
OK
731323385
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |