Individual
MRS. STACEY ANN TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2017 W I 35 FRONTAGE RD, EDMOND, OK 73013-8504
(405) 509-2800
(405) 509-2885
Mailing address
2017 W I 35 FRONTAGE RD, EDMOND, OK 73013-8504
(405) 509-2800
(405) 509-2885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2187
OK
Other
Enumeration date
01/08/2013
Last updated
07/09/2022
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