MRS. Stephanie Marie Green, MHS, PA-C, MBA

NPI #1609531425 in Edmond, Oklahoma

Provider Information

NPI Number: 1609531425
Entity Type: Individual
Name: MRS. Stephanie Marie Green, MHS, PA-C, MBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MHS, PA-C, MBA
Enumeration Date: Nov 5, 2021
Last Updated: Nov 18, 2021

Practice Location

Address: 2000 SONOMA PARK DR
City: Edmond
State: Oklahoma
ZIP Code: 73013-2092
Phone: (405) 285-2260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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