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Individual

CAMISA STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3918
(405) 810-9578
(405) 810-9597
Mailing address
11720 WILEMAN WAY, OKLAHOMA CITY, OK 73162-1843
(405) 826-1398
(405) 810-9597

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18469
OK
2084P0800X
Psychiatry Physician
Primary
18469
OK

Other

Enumeration date
05/09/2007
Last updated
01/31/2011
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