MEDICARE: JEFFREY NEAL STEWART MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	19030	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386617017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY NEAL STEWART MD

Provider Business Mailing Address
First Line	:	5300 N INDEPENDENCE AVE
Second Line	:	280
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5556
Country	:	US
Telephone Number	:	918-540-7870
Fax Number	:	918-540-7394

Provider Business Practice Location Address
First Line	:	310 2ND AVE SW
Second Line	:	STE. 208
City	:	MIAMI
State	:	OK
Zip	:	74354-6743
Country	:	US
Telephone Number	:	918-540-7870
Fax Number	:	918-540-7394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	04/05/2017

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Directions to “ JEFFREY NEAL STEWART MD” Practice Location

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