Individual
SAM VALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 ROCKEFELLER DR, MUSKOGEE, OK 74401-5075
(918) 502-1900
(918) 494-6303
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8343
(920) 926-8370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37100
OK
207R00000X
Internal Medicine Physician
52607
AZ
208M00000X
Hospitalist Physician
01077214A
IN
208M00000X
Hospitalist Physician
2017031843
MO
208M00000X
Hospitalist Physician
64288 - 2
WI
Other
Enumeration date
05/15/2014
Last updated
04/29/2025
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