# STEVEN L. NUSSBAUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013987288
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 34.004602 | OH | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 3826 | OK | — |
| 207Q00000X | Family Medicine Physician | 3826 | OK | — |
| 208D00000X | General Practice Physician | 3826 | OK | Yes |

## Other

- **Enumeration date:** 01/23/2006
- **Last updated:** 09/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100040600B | — | OK |
