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Individual

STACEY D KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3500 NW 56TH ST # SREET100, OKLAHOMA CITY, OK 73112
(405) 951-2855
(405) 951-2858
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 945-4587
(405) 713-2735

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3962
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200035270A
OK
Enumeration date
07/28/2005
Last updated
07/02/2018
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