Individual
MR. STEVEN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
824 EAST DR, OKLAHOMA CITY, OK 73105-8418
(405) 557-1910
Mailing address
2621 N STERLING AVE, OKLAHOMA CITY, OK 73127-1919
(405) 921-9724
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
324500000X
OK
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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