Individual
PENNY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6261
Mailing address
1921 STONECIPHER BLVD, ADA, OK 74820
(580) 421-4570
(580) 421-6261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1553
OK
Other
Enumeration date
12/14/2006
Last updated
09/14/2016
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