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Individual

STEPHEN M YEICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3048 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73159-6385
(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
06/12/2006
Last updated
09/03/2015
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