Individual
STEPHANIE L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1205 HEALTH CENTER PKWY, SUITE 100, YUKON, OK 73099-6396
(405) 350-1882
(405) 350-2039
Mailing address
1205 HEALTH CENTER PKWY, SUITE 110, YUKON, OK 73099-6396
(405) 350-1882
(405) 350-2039
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22463
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200120650A
—
OK
Enumeration date
02/07/2007
Last updated
10/22/2020
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