Individual
STEPHANIE RUTH MARTINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
13921 N MERIDIAN AVE, OKLAHOMA CITY, OK 73134-1103
(405) 752-9600
Mailing address
13921 N MERIDIAN AVE STE 100, OKLAHOMA CITY, OK 73134-1106
(405) 752-9600
(405) 752-9650
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
969
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100850300A
—
OK
01
—
970028541
RR MEDICARE
OK
01
—
970028542
RR MEDICARE
OK
Enumeration date
04/28/2006
Last updated
11/10/2025
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