Individual
ANNMARIE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 N 14TH ST STE 134, PONCA CITY, OK 74601-1840
(580) 749-4227
Mailing address
2101 N 14TH ST STE 134, PONCA CITY, OK 74601-1840
(580) 749-4227
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
001209
OK
Other
Enumeration date
11/06/2019
Last updated
11/27/2023
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