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Individual

MR. MICHAEL JAMES STANCLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
11220 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2725
(405) 722-9474
(405) 722-9463
Mailing address
11220 N ROCKWELL AVE, OKLAHOMA CITY, OK 73162-2725
(405) 722-9474
(405) 722-9463

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1868
OK
363AM0700X
Medical Physician Assistant
Primary
1868
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12407602
CAQH
05
200290040A
OK
Enumeration date
01/07/2010
Last updated
04/06/2026
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