Evan Stubblefield
Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).
NPI number1982425690
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1982425690
- Entity type
- Individual (NPI-1)
- Name
- Evan Stubblefield
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2024
- Certification date
- Oct 24, 2024
- Last updated
- Oct 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4444 E 41st StTulsa, OK 74135-2527
Phone 918-619-4400
Mailing address
4444 E 41st StTulsa, OK 74135-2527
Phone 918-619-4400
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