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Organization

STEPHEN M. YEICH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN M. YEICH MD (SOLE PROPRIETOR)
(405) 775-9350
Entity
Organization

Contact information

Practice address
3705 W MEMORIAL RD STE 302, OKLAHOMA CITY, OK 73134-1506
(405) 775-9350
(405) 775-9360
Mailing address
PO BOX 108835, OKLAHOMA CITY, OK 73101-8835
(405) 775-9350
(405) 775-9360

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16055
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100222060A
OK
Enumeration date
03/16/2009
Last updated
03/16/2009
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