Individual
JOHN C. STEPANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8121
Mailing address
1102 W MACARTHUR ST, SHAWNEE, OK 74801
(405) 878-8121
(405) 878-8122
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4021
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4021
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200015440A
—
OK
Enumeration date
09/21/2005
Last updated
03/13/2023
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