Provider Demographics
NPI:1467078519
Name:STANCAMPIANO, JOSEPH NATHANIEL (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:NATHANIEL
Last Name:STANCAMPIANO
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3433 NW 56TH ST STE 900
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4452
Mailing Address - Country:US
Mailing Address - Phone:405-713-9935
Mailing Address - Fax:
Practice Address - Street 1:3433 NW 56TH ST STE 900
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4452
Practice Address - Country:US
Practice Address - Phone:405-713-9935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2021-08-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant