Organization
CROSSWAY NOW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART W SCHRADER DO (MANAGING MEMBER)
(405) 418-5400
Entity
Organization
Contact information
Practice address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-5400
(405) 418-5401
Mailing address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-5400
(405) 418-5401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20170
OK
207Q00000X
Family Medicine Physician
23229
OK
207Q00000X
Family Medicine Physician
3770
OK
207Q00000X
Family Medicine Physician
Primary
3883
OK
207R00000X
Internal Medicine Physician
3883
OK
208000000X
Pediatrics Physician
3883
OK
Other
Enumeration date
01/11/2016
Last updated
01/27/2016
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