Individual
STEPHANIE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1211 N SHARTEL AVE, SUITE 900, OKLAHOMA CITY, OK 73103-2400
(405) 235-5331
(405) 235-0825
Mailing address
15221 WILFORD WAY, EDMOND, OK 73013-2650
(405) 812-3108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1488
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200074400A
—
OK
Enumeration date
06/12/2006
Last updated
05/13/2015
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