Unknown Individual – Physician Assistant, NPI 1659348274
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6600, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 74137, United States
STE 1400
TULSA, OK 741363310
Phone: (918) 488-6001
Fax: (918) 488-6010
Type: Mailing
Stillwater Medical Physicians Clinic, 1815, West 6th Avenue, Downtown Stillwater, Stillwater, Payne County, Oklahoma, 74074, United States
STILLWATER, OK 740744202
Phone: (405) 743-7300
Fax: (405) 743-7269
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74136)
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