| Stacey D Knapp Do | |
|
209 S 30th St Clinton OK 73601-3100 | |
| (580) 323-7800 | |
| (580) 323-7803 |
| Full Name | Stacey D Knapp Do |
|---|---|
| Speciality | Family Medicine |
| Location | 209 S 30th St, Clinton, Oklahoma |
| Authorized Official Name and Position | Stacey D Knapp (PROVIDER/OWNER) |
| Authorized Official Contact | 5803237800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey D Knapp Do 209 S 30th St Clinton OK 73601-3100 Ph: (580) 323-7800 | Stacey D Knapp Do 209 S 30th St Clinton OK 73601-3100 Ph: (580) 323-7800 |
| NPI Number | 1689675688 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 08/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689675688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20-1347913 (Oklahoma) | Primary |
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