Individual
DR. BROOKE KELLEY STOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
314 E OWEN K GARRIOTT RD, ENID, OK 73701-5712
(580) 249-3929
(580) 234-3301
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(580) 249-3929
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
297
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200441760A
—
OK
Enumeration date
10/02/2008
Last updated
08/19/2019
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