Organization
SOUTHCREST EMERGENCY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN STACY D.O. (PRESIDENT)
(918) 294-4000
Entity
Organization
Contact information
Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 294-4000
Mailing address
PO BOX 5358, NORMAN, OK 73070-5358
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
OK
Other
Enumeration date
01/18/2006
Last updated
08/22/2020
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