Individual
DR. AUDREY MELISSA STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12451 E 100TH ST N, EMERGENCY DEPT, OWASSO, OK 74055-4600
(918) 274-5000
(918) 274-5919
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-2288
(918) 744-2948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4561
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200183040A
—
OK
Enumeration date
07/02/2007
Last updated
01/09/2014
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