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Individual

MS. ELAINE EDITH STOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ELAINE STOOK

Contact information

Practice address
1120 S UTICA AVE, DEPARTMENT OF RADIATION ONCOLOGY, TULSA, OK 74104-4012
(918) 579-8200
Mailing address
1120 S UTICA AVE, DEPARTMENT OF RADIATION ONCOLOGY, TULSA, OK 74104-4012
(918) 579-8200

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
836
OK

Other

Enumeration date
02/01/2012
Last updated
02/01/2012
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