Individual
STANLEY ROBERT SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 S PARK LN, ALTUS, OK 73521-5731
(580) 379-6180
(580) 379-6189
Mailing address
101 S PARK LN, ALTUS, OK 73521-5731
(580) 379-6180
(580) 379-6189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3491
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100120140A
—
OK
Enumeration date
03/28/2006
Last updated
09/14/2022
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