Individual
MR. STEPHEN PATRICK MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4301 MOW-WAY RD, FT SILL, OK 73503-6300
(581) 442-5566
Mailing address
2503 NE HERITAGE CREEK DR, LAWTON, OK 73507-3312
(581) 442-3433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
352
MT
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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