Provider Demographics
NPI:1598735649
Name:STONE, ROBERT G (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:G
Last Name:STONE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:918-499-4855
Mailing Address - Fax:918-488-6098
Practice Address - Street 1:7858 S OLYMPIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74132-1857
Practice Address - Country:US
Practice Address - Phone:918-986-9250
Practice Address - Fax:918-986-9205
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2024-11-25
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Provider Licenses
StateLicense IDTaxonomies
OK3833207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100208280AMedicaid
OK100208280AMedicaid
H07057Medicare UPIN