Individual
DR. WESLEY M STOTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Mailing address
4802 S 109TH E AVENUE, TULSA, OK 74146
(918) 392-1400
(918) 392-1488
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
3496
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108290A
—
OK
01
—
200045047
RAILROAD MEDICARE
OK
Enumeration date
03/07/2006
Last updated
04/27/2016
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