Individual
DR. DANIEL LEE STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
Mailing address
22605 HAMILTON LN, POTEAU, OK 74953-8715
(918) 721-3756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7668
OK
390200000X
Student in an Organized Health Care Education/Training Program
7668
OK
Other
Enumeration date
04/27/2021
Last updated
01/29/2025
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