Individual
STANLEY D. CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 W MEMORIAL RD, OKLAHOMA CITY, OK 73142
(405) 755-4050
(405) 749-9566
Mailing address
5201 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2004
(405) 486-0826
(405) 749-9566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12345
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080156330
RAILROAD
OK
05
—
100100750A
—
OK
01
—
12345
LICENSE
OK
01
—
15340
OBNDD
OK
Enumeration date
06/27/2006
Last updated
08/17/2018
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