Provider Demographics
NPI:1578560140
Name:STURGILL, TROY A (D C)
Entity Type:Individual
Prefix:DR
First Name:TROY
Middle Name:A
Last Name:STURGILL
Suffix:
Gender:M
Credentials:D C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 335
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73802-0335
Mailing Address - Country:US
Mailing Address - Phone:580-256-1555
Mailing Address - Fax:580-256-3370
Practice Address - Street 1:1209 9TH ST
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-3103
Practice Address - Country:US
Practice Address - Phone:580-256-1555
Practice Address - Fax:580-256-3370
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3439111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK800522278OtherMEDICARE GROUP NUMBER
OK800522278Medicare ID - Type Unspecified