Organization
STEPHEN M TREADWELL
Active
Other names
Stephen Treadwell, DO
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN TREADWELL DO (OWNER)
(580) 229-0313
Entity
Organization
Contact information
Practice address
11053 STATE HIGHWAY 76, HEALDTON, OK 73438
(580) 229-0313
(580) 229-2045
Mailing address
PO BOX 276, HEALDTON, OK 73438-0276
(580) 229-0313
(580) 229-2045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2909
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4456897818
—
OK
Enumeration date
12/28/2006
Last updated
06/21/2018
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