person
Tommie Gay Stanberry, PA-C
Medical Physician Assistant in Tishomingo, Oklahoma
NPI 1194916015

Tommie Gay Stanberry is a Medical Physician Assistant based in Tishomingo, OK and is specialized in Medical. Tommie Gay Stanberry practices in Tishomingo, OK and has the professional credentials of PA-C. The NPI Number for Tommie Gay Stanberry is 1194916015 and holds a License No. 1655 (Oklahoma).

The current practice location address for Tommie Gay Stanberry is 610 E 24Th St, Tishomingo, OK and can be reached out via phone at 580-371-2343 and via fax at 580-371-2451.

Location: 610 E 24Th St, Tishomingo, OK, 73460-3245
person
Provider Profile Details
NPI Number
1194916015
Provider Name
Tommie Gay Stanberry
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
610 E 24Th St, Tishomingo, OK, 73460-3245
Phone Number
580-371-2343
Fax Number
580-371-2451
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1655 01 OK LICENSE NUMBER PA-C
200128520A 05 OK
institution
Provider Business Practice Location Address Details
Address
610 E 24Th St
City
State
Zip
73460-3245
Phone Number
580-371-2343
Fax Number
580-371-2451
person
Provider Business Mailing Address Details
Address
610 E 24Th St
City
State
Zip
73460-3245
Phone Number
580-371-2343
Fax Number
580-371-2451
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1655 (Oklahoma)
Definition
Definition to come...
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