Healthcare Provider Details

I. General information

NPI: 1679010516
Provider Name (Legal Business Name): DANNY LEE STONE C-PRSS-O/G
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1247
GUYMON OK
73942-1247
US

IV. Provider business mailing address

PO BOX 1247
GUYMON OK
73942-1247
US

V. Phone/Fax

Practice location:
  • Phone: 918-420-9727
  • Fax: 405-561-4187
Mailing address:
  • Phone: 918-420-9727
  • Fax: 405-561-4187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number314211
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number131846
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: