Individual
MISS SHELBY RAE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
65 S SAINTS BLVD, EDMOND, OK 73034-3051
(405) 285-5304
(405) 285-5305
Mailing address
10251 STONE GATE DR, ARCADIA, OK 73007-7520
(405) 323-4198
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2542
OK
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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