Stanbro Healthcare Group Llc | |
2000 E 15th St Suite 400-a Edmond OK 73013-6697 | |
(617) 899-4945 | |
Not Available |
Full Name | Stanbro Healthcare Group Llc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 2000 E 15th St, Edmond, Oklahoma |
Authorized Official Name and Position | Peter Stanbro (PARTNER/OWNER) |
Authorized Official Contact | 6178994945 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stanbro Healthcare Group Llc 2000 E 15th St Suite 400-a Edmond OK 73013-6697 Ph: () - | Stanbro Healthcare Group Llc 2000 E 15th St Suite 400-a Edmond OK 73013-6697 Ph: (617) 899-4945 |
NPI Number | 1942592886 |
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Provider Enumeration Date | 05/11/2011 |
Last Update Date | 05/11/2011 |
Identifier | Type | State | Issuer |
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1942592886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 27353 (Oklahoma) | Primary |
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