Healthcare Provider Details

I. General information

NPI: 1982993507
Provider Name (Legal Business Name): CHRISTOPHER DAVID STOKES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 09/08/2020
Certification Date: 09/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10501 E 91ST ST
TULSA OK
74133-5790
US

IV. Provider business mailing address

4715 E 105TH PL
TULSA OK
74137-6204
US

V. Phone/Fax

Practice location:
  • Phone: 918-307-6920
  • Fax:
Mailing address:
  • Phone: 720-496-8471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberD0074426
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number31385
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: