Individual
STACY TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N PORTER AVE, NORMAN, OK 73071-6425
(405) 424-7711
Mailing address
1012 CHOCTAW RIDGE RD, OKLAHOMA CITY, OK 73130-6127
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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