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Contact Information

WESLEY M STOTLER, DO
4802 S 109TH EAST AVE
TULSA, OK74146-5822
 Phone: 918-392-1400
 Fax: 918-392-1488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WESLEY M STOTLER · (Male)

NPI Number 1013984251
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/07/2006
Last updated 04/27/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 3496
  • OK Medicaid 100108290A
  • OK Other 200045047 RAILROAD MEDICARE
Hospital affiliation(s)
  • ST JOHN BROKEN ARROW - (Acute Care)
    1000 WEST BOISE CIRCLE
    BROKEN ARROW, OK 74012
  • ST JOHN MEDICAL CENTER INC - (Acute Care)
    1923 SOUTH UTICA AVENUE
    TULSA, OK 74104
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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