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Individual

JOAN E STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-8395
(918) 561-8525
Mailing address
2345 SOUTHWEST BLVD, TULSA, OK 74107-2705
(918) 561-8395
(918) 561-8525

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2551
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100204980B
OK
Enumeration date
09/20/2006
Last updated
07/09/2008
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