Individual
DR. JAMES L STAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 RIDGEWOOD DR, EDMOND, OK 73013-8072
(405) 285-6601
(405) 285-0957
Mailing address
3401 RIDGEWOOD DR, EDMOND, OK 73013-8072
(405) 285-6601
(405) 285-0957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11162
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248990A
—
OK
01
—
432045417
TAX IDENTIFICATION NUMBER
OK
01
—
P00140135
RAILROAD MEDICARE
OK
Enumeration date
09/13/2006
Last updated
07/08/2007
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