Healthcare Provider Details

I. General information

NPI: 1871592931
Provider Name (Legal Business Name): ROBIN B. HALL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBIN LEE BELL

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 W 19TH AVE
STILLWATER OK
74074-2732
US

IV. Provider business mailing address

3410 W 19TH AVE
STILLWATER OK
74074-2732
US

V. Phone/Fax

Practice location:
  • Phone: 405-777-4955
  • Fax: 405-999-4775
Mailing address:
  • Phone: 405-777-4955
  • Fax: 405-999-4775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number22870
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: