Individual
ROBERT SCOTT STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3204 MEDICAL PARK DR, SHAWNEE, OK 74804-5014
(405) 878-6800
(405) 878-6831
Mailing address
3204 MEDICAL PARK DR, SHAWNEE, OK 74804-1743
(405) 878-6800
(405) 878-6831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20568
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0302664002
CIGNA
—
05
—
100118700B
—
OK
01
—
80156052
UNITED HEALTHCARE
—
01
—
89417
AETNA
—
01
—
OP0330008
HUMANA
—
Enumeration date
05/31/2005
Last updated
11/11/2016
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