Stephanie R. Garrison, P.A.
Physician Assistant, Surgical in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1124094446
StatusActive
Last updated in NPPESFeb 25, 2011
Details
- NPI
- 1124094446
- Entity type
- Individual (NPI-1)
- Name
- Stephanie R. Garrison
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2006
- Last updated
- Feb 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 1522 | OK | Yes |
| 363AM0700X | Physician Assistant, Medical | PA1522 | OK |
Other names
- Stephanie R. Hahn (Former Name)
Practice location
4120 W Memorial RdSuite 300
Oklahoma City, OK 73120-9320
Phone 405-748-3300 · Fax 405-749-1671
Mailing address
4120 W Memorial RdSuite 300
Oklahoma City, OK 73120-9320
Phone 405-748-3300 · Fax 877-657-5008
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