Individual
DR. ERIC S. BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1505 E MAIN ST, STIGLER, OK 74462-2913
(918) 967-3368
(918) 967-4582
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-4560
(918) 967-4582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16956
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119810A
—
OK
01
—
16956
MEDICAL LICENSE
OK
Enumeration date
10/04/2006
Last updated
11/17/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us