Individual
MS. TIMARA LEIGH STELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1401 N 4TH AVE STE 107, PURCELL, OK 73080-1806
(405) 527-5400
(405) 527-7332
Mailing address
DEPT 96-0341, OKLAHOMA CITY, OK 73196-0341
(405) 527-5400
(405) 527-7332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2573
OK
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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