Individual
STEVEN COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9524 E 81ST ST STE B1548, TULSA, OK 74133-8032
(918) 378-3592
(877) 804-6015
Mailing address
9524 E 81ST ST STE B1548, TULSA, OK 74133-8032
(918) 378-3592
(877) 804-6015
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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