Provider Demographics
NPI:1689638652
Name:STOCKTON, DARIN K (MD)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:K
Last Name:STOCKTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-4417
Mailing Address - Country:US
Mailing Address - Phone:405-840-4456
Mailing Address - Fax:405-840-4295
Practice Address - Street 1:9100 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-4417
Practice Address - Country:US
Practice Address - Phone:405-840-4456
Practice Address - Fax:405-840-4295
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK19470207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100253070AMedicaid
OK100253070AMedicaid