Individual
MICHAEL STANDIFER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
220 VILLAGE CIR, PONCA CITY, OK 74601-4021
(580) 762-0121
Mailing address
3542 SPRINGWOOD ST APT 614, PONCA CITY, OK 74604-1632
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
301
OK
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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