Organization
STEVEN P. MEDEIROS, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN PAUL MEDEIROS D.O. (OWNER)
(918) 635-3578
Entity
Organization
Contact information
Practice address
101 SMITH AVE, STE 2, POTEAU, OK 74953-2613
(918) 647-0670
Mailing address
PO BOX 1278, POTEAU, OK 74953-1278
(918) 635-3578
(918) 635-3479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2800
OK
208600000X
Surgery Physician
2800
OK
Other
Enumeration date
02/19/2009
Last updated
04/08/2014
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