Stafford, Paul Ryan

Stafford, Paul Ryan is an individual health care provider with primary practice located at 2424 E 21St St Suite 320, Tulsa OK 74114-1722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Stafford, Paul Ryan can be contacted via phone (918) 392-4547.

Contact Information

Primary practice address
2424 E 21St St Suite 320 Tulsa OK 74114-1722
Fax: (918) 392-4555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 24970 Oklahoma

Profile Details

NPI number 1134105257
LBN Legal business name Stafford, Paul Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Mar 22nd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134105257 NPPES
Oklahoma MEDICAID 200097000A
Oklahoma Other P00619566

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