Individual
STEPHANIE M HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
3700 N KICKAPOO AVE, SUITE 124, SHAWNEE, OK 74804-1707
(405) 273-6383
(405) 214-4362
Mailing address
3700 N KICKAPOO AVE, SUITE 124, SHAWNEE, OK 74804-1707
(405) 273-6383
(405) 214-4362
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1825
OK
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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