About Stacy Provence
Stacy Provence is a Pediatrics healthcare provider based in Bethany, Oklahoma. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 09/23/2015. The National Provider Identifier (NPI) number assigned to this provider is 1912376765.
No pharmaceutical payment records or Medicare utilization data were found in the CMS databases for this provider. This does not reflect on the quality of care provided.
Practice Information
- Specialty Pediatrics
- Location Bethany, OK
- Active Since 09/23/2015
- Last Updated 11/14/2019
- Taxonomy Code 363LP0200X
- Entity Type Individual
- NPI Number 1912376765
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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