Individual
DR. RANDALL HARWOOD STICKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4111 S DARLINGTON AVE, SUITE 700, TULSA, OK 74135-6348
(918) 747-4975
(918) 743-9058
Mailing address
PO BOX 4939, TULSA, OK 74159-0939
(918) 747-4975
(918) 743-9058
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16318
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100147200A
—
OK
Enumeration date
11/03/2005
Last updated
04/05/2012
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