Individual
STEPHANIE JANE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
505 S MAIN ST, PORTER, OK 74454-1015
(918) 483-0111
(918) 483-4174
Mailing address
505 S MAIN ST, PORTER, OK 74454-1015
(918) 483-0111
(918) 483-4174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2481
OK
Other
Enumeration date
03/27/2015
Last updated
06/25/2015
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