Individual
CASEY D STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E2074
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100075030A
—
OK
05
—
137393001
—
AR
01
—
5L204
BCBS
AR
Enumeration date
07/26/2006
Last updated
09/22/2010
Update your record
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