# A VAIL STEPHENS MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Vail Stephens MD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689949885
- **Authorized official:** JILLIAN S HERNDON (BILLING DIRECTOR)
- **Authorized official phone:** (405) 557-1200

## Contact information

- **Practice address:** 1701 E 2ND ST, SUITE A, EDMOND, OK 73034-6405
- **Practice address phone:** (405) 348-2323
- **Practice address fax:** (405) 348-2325
- **Mailing address:** PO BOX 1550, CHOCTAW, OK 73020-1550
- **Mailing address phone:** (405) 361-9417
- **Mailing address fax:** (405) 348-2325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24050 | OK | Yes |

## Other

- **Enumeration date:** 03/20/2012
- **Last updated:** 09/06/2013
