Individual
BRAD WAYNE STAHLHEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2900 N MAIN ST, MUSKOGEE, OK 74401-4078
(918) 687-7777
Mailing address
2900 N MAIN ST, MUSKOGEE, OK 74401-4078
(918) 687-7777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4334
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200218240A
—
OK
Enumeration date
06/09/2008
Last updated
11/19/2012
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