Individual
MRS. STEPHANIE JO MCCALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1705 E 19TH ST, SUITE 201, TULSA, OK 74104-5404
(918) 744-3180
(918) 744-3187
Mailing address
1705 E 19TH ST, SUITE 201, TULSA, OK 74104-5404
(918) 744-3180
(918) 744-3187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1592
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200115030A
—
OK
Enumeration date
03/12/2007
Last updated
05/07/2008
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