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NPI Code Detail

MEDICARE: STEPHANIE MARIE BRUMLEY II

MEDICARE: STEPHANIE MARIE BRUMLEY II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistOK

General Provider Information

NPI Number : 1154267094
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MARIE BRUMLEY II
Provider Business Mailing Address
First Line : 7829 LYREWOOD LN APT 215
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73132-5543
Country : US
Telephone Number : 918-565-4136
Fax Number :
Provider Business Practice Location Address
First Line : 7829 LYREWOOD LN APT 215
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73132-5543
Country : US
Telephone Number : 918-565-4136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ STEPHANIE MARIE BRUMLEY II ” Practice Location

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