Individual
MR. DAVID W. STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
601 NW FORT SILL BLVD, LAWTON, OK 73507-6601
(580) 355-5170
(580) 585-6433
Mailing address
7 NW WENTWOOD HILL DR, LAWTON, OK 73505-9500
(580) 678-0410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
84
OK
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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