Individual
AMBER STACHMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
600 NATIONAL AVE, MIDWEST CITY, OK 73110-4208
(405) 869-7700
(405) 280-5398
Mailing address
600 NATIONAL AVE, MIDWEST CITY, OK 73110-4208
(405) 869-7700
(405) 280-5398
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1729
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075744
NCCPA
OK
Enumeration date
04/16/2008
Last updated
04/16/2008
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