Healthcare Provider Details

I. General information

NPI: 1881693752
Provider Name (Legal Business Name): CRISTOPHER D SCHULTZ D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 E CHEROKEE AVE
ENID OK
73701-5714
US

IV. Provider business mailing address

PO BOX 129
ENID OK
73702-0129
US

V. Phone/Fax

Practice location:
  • Phone: 580-205-2009
  • Fax: 580-238-4259
Mailing address:
  • Phone: 580-205-2009
  • Fax: 580-238-4259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4031
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number4031
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: