MR. Brice Tyler Stanley, PAC

NPI #1285677575 in Lapine, Oregon

Provider Information

NPI Number: 1285677575
Entity Type: Individual
Name: MR. Brice Tyler Stanley, PAC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5600 HUNTINGTON RD
Address 2: LAPINE COMMUNITY CLINIC
City: Lapine
State: Oregon
ZIP Code: 97739
Phone: (541) 534-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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