Individual
STEPHEN TREADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11053 HIGHWAY 76, HEALDTON, OK 73438-1721
(580) 229-0313
(580) 229-2045
Mailing address
PO BOX 276, HEALDTON, OK 73438-0276
(580) 229-0313
(580) 229-2045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2907
OK
Other
Enumeration date
06/06/2006
Last updated
07/24/2019
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