Individual
STEVEN L. NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9716 RIVERSIDE PARKWAY, SUITE 100, TULSA, OK 74137
(918) 299-4333
(918) 299-4330
Mailing address
9716 RIVERSIDE PKWY, SUITE 100, TULSA, OK 74137-7447
(918) 299-4333
(918) 299-4330
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
3826
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100040600B
—
OK
Enumeration date
01/23/2006
Last updated
09/26/2022
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