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Individual

DR. STAN S SHRAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 NE 97TH ST, OKLAHOMA CITY, OK 73114-6302
(405) 842-2061
(405) 842-3146
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9729
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100174910A
OK
Enumeration date
01/16/2006
Last updated
05/17/2026
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