Individual
DR. STEPHANIE DETER PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2017 W I 35 FRONTAGE RD, EDMOND, OK 73013-8504
(405) 216-4004
(405) 216-4008
Mailing address
2017 W I 35 FRONTAGE RD, EDMOND, OK 73013-8504
(405) 216-4004
(405) 216-4008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
29015
OK
Other
Enumeration date
06/24/2008
Last updated
08/06/2015
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