| Stephen E Smalley, DO | |
|
1815 W 6th Ave, Stillwater, OK 74074-4202 | |
| (405) 743-7300 | |
| Not Available |
| Full Name | Stephen E Smalley |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1815 W 6th Ave, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518993427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | L7192 (Texas) | Secondary |
| 208000000X | Pediatrics | 5117 (Oklahoma) | Primary |
| Entity Name | Stillwater Medical Center Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen E Smalley, DO 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3347 Ph: (918) 488-6001 | Stephen E Smalley, DO 1815 W 6th Ave, Stillwater, OK 74074-4202 Ph: (405) 743-7300 |
Malinda G Webb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 Fax: 405-743-7252 | |
Dr. Colbi Michelle Smithton, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 S Walnut St, Stillwater, OK 74074 Phone: 405-533-1474 Fax: 405-742-4990 | |
Susan Bullard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7375 Fax: 918-743-7253 | |
Carla E Wilsey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 Fax: 405-743-7269 | |
Amy Odom Hardin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201 S Adams St, Stillwater, OK 74074 Phone: 405-742-7300 | |
Robert C Wright, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 Fax: 405-743-7269 |