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Individual

STEPHEN M. ACKERLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 577-3000
Mailing address
6585 S YALE AVE, SUITE 200, TULSA, OK 74136-8384
(918) 481-2767

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
22311
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100113950A
OK
Enumeration date
11/23/2005
Last updated
12/06/2024
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