Individual
MRS. STARLA M ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
40 HOSPITAL RD, FAIRFAX, OK 74637-5084
(918) 642-3291
Mailing address
40 HOSPITAL RD, FAIRFAX, OK 74637-5084
(918) 642-3291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5383
OK
Other
Enumeration date
04/01/2012
Last updated
09/30/2015
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