Individual
DR. CHARLES EATON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
11212 E 48TH ST, TULSA, OK 74146-5824
(918) 497-3715
(918) 884-7282
Mailing address
11212 E 48TH ST, TULSA, OK 74146-5824
(918) 497-3715
(918) 884-7282
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
24962
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200202310A
—
OK
Enumeration date
07/07/2006
Last updated
10/28/2020
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