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Individual

DR. TARA DEANN STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 830-2006
Mailing address
14025 N EASTERN AVE, APT 1101, EDMOND, OK 73013-5588
(405) 830-2006

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5252
OK

Other

Enumeration date
06/29/2012
Last updated
10/04/2012
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