Organization
STIGLER IMAGING, INFUSION & SPECIALTY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SMITH (CREDENTIALING SPEC)
(405) 984-7174
Entity
Organization
Contact information
Practice address
205 N BROADWAY ST, STIGLER, OK 74462-2043
(918) 268-3773
(918) 398-8897
Mailing address
205 N BROADWAY ST, STIGLER, OK 74462-2043
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
08/24/2024
Last updated
11/07/2024
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