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Individual

DR. STEPHEN W WOODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
907 NW 5TH ST, STIGLER, OK 74462-1611
(918) 967-3355
(918) 967-8863
Mailing address
907 NW 5TH ST, STIGLER, OK 74462-1611
(918) 967-3355
(918) 967-8863

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2123
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100089460A
OK
Enumeration date
07/15/2005
Last updated
02/07/2011
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