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Individual

MR. PETER BRICE STABNICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
2 N WATER ST, SAPULPA, OK 74066-2816
(918) 224-0225
(918) 224-5975
Mailing address
3519 S LOUISVILLE AVE, TULSA, OK 74135-4504
(918) 260-2209
(918) 241-5031

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OK

Other

Enumeration date
03/05/2009
Last updated
03/05/2009
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