Provider Demographics
NPI:1952307647
Name:MAGNESS, ASHLEY ANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ANNE
Last Name:MAGNESS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2601 KELLEY POINTE PKWY
Mailing Address - Street 2:STE 101
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-2996
Mailing Address - Country:US
Mailing Address - Phone:405-844-2601
Mailing Address - Fax:405-844-2610
Practice Address - Street 1:2601 KELLEY POINTE PKWY
Practice Address - Street 2:STE 101
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-2996
Practice Address - Country:US
Practice Address - Phone:405-844-2601
Practice Address - Fax:405-844-2610
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2011-09-26
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Provider Licenses
StateLicense IDTaxonomies
OK212502085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology