Individual
STUART W. SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-5400
(405) 418-5401
Mailing address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-5400
(405) 418-5401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3883
OK
208000000X
Pediatrics Physician
3883
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214990A
—
OK
01
—
110226567
MEDICARE RAILROAD #
OK
Enumeration date
07/11/2006
Last updated
04/22/2025
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