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Individual

MR. STEPHEN GARRETT SILVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CTP, CFO

Contact information

Practice address
6052 S SHERIDAN RD, TULSA, OK 74145-9212
(918) 488-0400
Mailing address
8407 E 81ST ST APT 227, TULSA, OK 74133-8029
(713) 857-8262

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03819
ABC
Enumeration date
05/18/2017
Last updated
05/18/2017
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