Individual
TIMOTHY DAVID STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1366A SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-4519
(918) 933-0222
(918) 333-0224
Mailing address
6301 E 41ST ST, TULSA, OK 74135-6103
(918) 289-0550
(918) 289-0551
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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