Stuart Family Medicine, PLLC.
Organization Active NPI Family Medicine Physician · Shattuck, OK
NPI 1902278286 · NPPES record last updated Oct 26, 2015
Key facts
- NPI
- 1902278286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 66926 (OK)
- Legal business name
- STUART FAMILY MEDICINE, PLLC.
- Practice address
- 905 S Main St
Shattuck, OK 73858-9205 - Phone
- (580) 938-5400
- Fax
- (580) 938-5409
- NPI assigned
- Oct 26, 2015
- Organization subpart
- No
Authorized official
- Name
- Paula Sue Wilkerson
- Title
- Office Manager
- Phone
- (580) 938-5400
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 66926 | OK | Yes |
Addresses
Primary practice location
905 S Main St
Shattuck, OK 73858-9205
Mailing address
905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-5400
Other names
- Newman Healthcare Associates
Other providers in Shattuck, OK
- Shattuck Dentistry & Braces
- Shattuck Nursing Center Inc
- Shattuck Pharmacy Management Inc
- Shattuck Public Schools
- Stuart Family Medicine, PLLC
- Danna K Stuart
All providers in Shattuck, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.