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Contact Information

STEPHN DRYWATER, MD
100 S BLISS AVE
TAHLEQUAH, OK74464
 Phone: 918-458-3100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for STEPHN DRYWATER · (Male)

NPI Number 1598175309
Status Active
Credentials MD
Entity Individual
Enumeration date 05/01/2014
Last updated 05/31/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 30727
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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