Individual provider · Type 1 NPI

Tommie Gay Stanberry, PA-C

Medical Physician Assistant · Tishomingo, OK

NPI number 1194916015 Active

Practice location

610 E 24th St
Tishomingo, OK 73460-3245

Fax (580) 371-2451

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1655 (OK)

Medical Physician Assistant: Definition to come...

36 other providers at this address

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About NPI 1194916015

Tommie Gay Stanberry, PA-C's National Provider Identifier is 1194916015, issued on Aug 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tishomingo, OK. The record was last updated on Sep 2, 2010.