Individual provider · Type 1 NPI

Camryn Trice Stovall, PA-C

Medical Physician Assistant · Oklahoma City, OK

NPI number 1770152456 Active

Practice location

1919 E Memorial Rd
Oklahoma City, OK 73131-1253

Call (405) 341-7009 Map

Mailing address

101 NE 53rd St Apt 2214
Oklahoma City, OK 73105-1870

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1770152456

Camryn Trice Stovall, PA-C's National Provider Identifier is 1770152456, issued on Jun 17, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Jun 17, 2021.