Individual
MR. DON A STOVER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10400 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6907
(405) 735-2270
(405) 735-2273
Mailing address
PO BOX 890178, OKLAHOMA CITY, OK 73189-0178
(405) 735-2270
(405) 735-2273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2275
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182988500
DOL
OK
05
—
200116740A
—
OK
Enumeration date
02/27/2006
Last updated
10/13/2017
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