Individual
MRS. STACEY ERIKA VLADOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
637 E 27TH ST, EDMOND, OK 73013-5222
(918) 289-6496
Mailing address
637 E 27TH ST, EDMOND, OK 73013-5222
(918) 289-6496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3208
OK
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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