Provider Demographics
NPI:1366263873
Name:ROWLAND, PAMELA DAWN
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:DAWN
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 MISSOURI AVE UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:COMANCHE
Mailing Address - State:OK
Mailing Address - Zip Code:73529-3023
Mailing Address - Country:US
Mailing Address - Phone:580-467-7989
Mailing Address - Fax:
Practice Address - Street 1:700 MISSOURI AVE UNIT 1B
Practice Address - Street 2:
Practice Address - City:COMANCHE
Practice Address - State:OK
Practice Address - Zip Code:73529-3023
Practice Address - Country:US
Practice Address - Phone:580-467-7989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist