Individual
CHARLES BLAKE STANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5720 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2010
(405) 470-7100
(405) 470-7111
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 470-7100
(405) 470-7111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23951
OK
Other
Enumeration date
04/10/2006
Last updated
10/05/2018
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