| Mr Earl Jay Dethloff, REGISTERED NURSE | |
|
604 S Walnut St, Stillwater, OK 74074-4222 | |
| (405) 372-2202 | |
| Not Available |
| Full Name | Mr Earl Jay Dethloff |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 604 S Walnut St, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578106746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 73631 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Earl Jay Dethloff, REGISTERED NURSE 604 S Walnut St, Stillwater, OK 74074-4222 Ph: (405) 372-2202 | Mr Earl Jay Dethloff, REGISTERED NURSE 604 S Walnut St, Stillwater, OK 74074-4222 Ph: (405) 372-2202 |
Shelbi Ballard, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 S Walnut St, Stillwater, OK 74074 Phone: 405-372-2202 | |
Ms. Marietta Paulette Sousis, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2322 W 7th Ave, Stillwater, OK 74074 Phone: 405-372-1131 Fax: 405-372-3632 | |
Mr. Jill Renae Jordan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 S Walnut St, Stillwater, OK 74074 Phone: 405-372-2202 Fax: 405-445-3780 | |
Amanda Dawn Rilee, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 S Walnut St, Stillwater, OK 74074 Phone: 405-372-2202 Fax: 405-445-3780 | |
Gina Marie Agnew, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 S Walnut St, Stillwater, OK 74074 Phone: 405-372-2202 Fax: 405-445-3780 | |
Tina Marie Ensign, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1624 Cimarron Plz, Stillwater, OK 74075 Phone: 405-372-2202 | |
Sherry Yvette Stout, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1624 Cimarron Plz, Stillwater, OK 74075 Phone: 405-372-2202 Fax: 405-372-2237 |