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Individual

STEPHANIE R. GARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
4120 W MEMORIAL RD, SUITE 300, OKLAHOMA CITY, OK 73120-9320
(405) 748-3300
(405) 749-1671
Mailing address
4120 W MEMORIAL RD, SUITE 300, OKLAHOMA CITY, OK 73120-9320
(405) 748-3300
(877) 657-5008

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA1522
OK
363AS0400X
Surgical Physician Assistant
Primary
1522
OK

Other

Enumeration date
02/27/2006
Last updated
02/25/2011
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