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NPI Code Detail

MEDICARE: DR. PETER PHILLIP STUDEBAKER DO

MEDICARE:  DR. PETER PHILLIP STUDEBAKER  DO
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
1207Q00000XFamily Medicine Physician6827OK

General Provider Information

NPI Number : 1770072605
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER PHILLIP STUDEBAKER DO
Provider Business Mailing Address
First Line : 4301 WILSON ST
Second Line : ATTN: FIRES CLINIC
City : FORT SILL
State : OK
Zip : 73503-4472
Country : US
Telephone Number : 580-558-8496
Fax Number : 580-558-2470
Provider Business Practice Location Address
First Line : 4301 WILSON ST
Second Line : RAHC, ATTN: FIRES CLINIC
City : FORT SILL
State : OK
Zip : 73503
Country : US
Telephone Number : 580-558-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2018
Last Update Date : 05/31/2026

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Directions to “ DR. PETER PHILLIP STUDEBAKER DO” Practice Location

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