Individual
STANLEY GENE PROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 E 15TH ST, TULSA, OK 74119-4044
(918) 584-2870
(918) 587-3602
Mailing address
115 E 15TH ST, TULSA, OK 74119-4044
(918) 584-2870
(918) 587-3602
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
11315
OK
Other
Enumeration date
07/04/2006
Last updated
08/29/2007
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