Individual
MR. CLIFTON STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 592-0999
Mailing address
16509 E 49TH PL, TULSA, OK 74134-7190
(918) 261-5824
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R0089177
OK
363LF0000X
Family Nurse Practitioner
R0089177
OK
Other
Enumeration date
08/16/2019
Last updated
03/09/2022
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