Individual
STEVEN WAYNE DITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4801 SE 15TH ST STE 300, DEL CITY, OK 73115-3918
(405) 702-9400
(405) 702-9437
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 702-9400
(405) 702-9437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23038
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100846180A
—
OK
Enumeration date
08/24/2005
Last updated
04/29/2019
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