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Individual

DR. STANLEY S PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
(405) 271-1926
Mailing address
608 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5014
(405) 271-6060
(405) 271-1926

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
33895
OK
207W00000X
Ophthalmology Physician
57.023658
OH
207W00000X
Ophthalmology Physician
ME131171
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
33895
OK

Other

Enumeration date
03/25/2013
Last updated
12/17/2021
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