MEDICARE: FRED STRIBLING, M.D., P.C.

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	2084P0800X	Psychiatry Physician	ME71192	FL
2	2084P0800X	Psychiatry Physician	MD058533L	PA
3	2084P0800X	Psychiatry Physician	MD00047693	WA
4	2084P0800X	Psychiatry Physician	22678	OK

General Provider Information

NPI Number	:	1437274446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRED STRIBLING, M.D., P.C.

Provider Business Mailing Address
First Line	:	PO BOX 645
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73648-0645
Country	:	US
Telephone Number	:	580-243-1002
Fax Number	:	580-243-1003

Provider Business Practice Location Address
First Line	:	1710 W 3RD ST
Second Line	:	SUITE 104
City	:	ELK CITY
State	:	OK
Zip	:	73644-5159
Country	:	US
Telephone Number	:	580-243-1002
Fax Number	:	580-243-1003

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. FRED STRIBLING
Credential	:	M.D.
Telephone Number	:	580-243-1002

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	08/22/2020

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