Individual
STEVEN DALE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2445
(405) 486-2451
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2445
(405) 486-2451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
730
OK
Other
Enumeration date
10/23/2006
Last updated
04/23/2014
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