Individual
STEPHANIE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2605 SW 119TH ST, SUITE A, OKLAHOMA CITY, OK 73170-2601
(405) 912-3400
Mailing address
2605 SW 119TH ST, SUITE A, OKLAHOMA CITY, OK 73170-2601
(405) 912-3400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2719
OK
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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