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Individual

STEVE M MADRID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
800 SHARE DR, ALVA, OK 73717-3618
(580) 430-3366
(580) 430-3354
Mailing address
PO BOX 727, ALVA, OK 73717-0727
(580) 430-3333
(580) 430-3305

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
870 PA
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100203340A
OK
Enumeration date
07/14/2005
Last updated
07/18/2025
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