Mr Brice Tyler Stanley, PAC | |
5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 | |
(541) 534-3435 | |
(541) 536-8047 |
Full Name | Mr Brice Tyler Stanley |
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Gender | Male |
Speciality | Physician Assistant |
Location | 5600 Huntington Rd, Lapine, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1285677575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363A00000X | Physician Assistant | PA01027 (Oregon) | Primary |
Mailing Address | Practice Location Address |
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Mr Brice Tyler Stanley, PAC Po Box 3300, Lapine, OR 97739 Ph: (541) 536-3435 | Mr Brice Tyler Stanley, PAC 5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 Ph: (541) 534-3435 |