Organization
OKLAHOMA ADVANCED DIABETES CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PORTER PA-C (OWNER/MANAGING MEMBER)
(405) 467-2280
Entity
Organization
Contact information
Practice address
1016 24TH AVE NW STE 110, NORMAN, OK 73069-6542
(405) 467-2280
Mailing address
1016 24TH AVE NW STE 110, NORMAN, OK 73069-6542
(405) 467-2280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/21/2025
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