Individual
JUSTIN MAXWELL STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
1725 E 19TH ST, SUITE 604, TULSA, OK 74104-5437
(918) 549-5888
(918) 744-3562
Mailing address
1725 E 19TH ST, SUITE 604, TULSA, OK 74104-5437
(918) 549-5888
(918) 744-3562
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
14
OK
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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