Individual
ANNA STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 EVERETT DR, 1 NP 606, OKLAHOMA CITY, OK 73104-5047
(405) 271-5125
Mailing address
940 STANTON L YOUNG BLVD, BMSB 357, OKLAHOMA CITY, OK 73104-5020
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23436
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200134480A
—
OK
Enumeration date
02/06/2007
Last updated
04/23/2024
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