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Individual

DR. STEVEN LANDGARTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1245 S UTICA AVE, TULSA, OK 74104-4200
(918) 382-2551
(918) 382-2561
Mailing address
1245 S UTICA AVE, TULSA, OK 74104-4214
(918) 382-2551
(918) 382-2561

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9623
OK
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9623
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100012240A
OK
Enumeration date
06/02/2006
Last updated
01/22/2019
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