Individual
STACY PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3138 S GARNETT RD, TULSA, OK 74146-1933
(918) 203-7005
(918) 400-0967
Mailing address
1200 W CHEROKEE ST, WAGONER, OK 74467-4624
(918) 485-5514
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38292
OK
207Q00000X
Family Medicine Physician
Primary
38292
OK
Other
Enumeration date
04/29/2021
Last updated
05/23/2025
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