Healthcare Provider Details

I. General information

NPI: 1891855722
Provider Name (Legal Business Name): ORTHOOKLAHOMA P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 WINDSOR DR
STILLWATER OK
74074-6962
US

IV. Provider business mailing address

511 WINDSOR DR
STILLWATER OK
74074-6962
US

V. Phone/Fax

Practice location:
  • Phone: 405-707-0900
  • Fax: 405-707-3363
Mailing address:
  • Phone: 405-707-0900
  • Fax: 405-707-3363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SCOTT N. STUBBS
Title or Position: OWNER
Credential: M.D.
Phone: 405-707-0900