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Individual

DR. DANNA K STUART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
404 SOUTH MAIN STREET, SHATTUCK, OK 73858
(580) 938-5400
(580) 938-5409
Mailing address
PO BOX 827, SHATTUCK, OK 73858-0827
(580) 938-5400
(580) 938-5409

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24874
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200093290A
OK
Enumeration date
07/23/2006
Last updated
01/08/2013
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