NPI | 1689675688 |
---|---|
Doing Business As | STACEY D KNAPP DO |
Entity Type | Organization |
Authorized Contact | STACEY D KNAPP Provider/Owner 580-323-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 20-1347913) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2011-08-15 |