Individual
DR. STEVEN G BANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
217 N HARRISON AVE STE 109, BLANCHARD, OK 73010-6217
(405) 888-8483
(918) 803-4861
Mailing address
2449 COUNTY ROAD 1370, BLANCHARD, OK 73010-4206
(214) 384-1631
(405) 265-5230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G3129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AW60
BCBS
TX
01
—
080003644
RR MCR
—
05
—
114033703
—
TX
05
—
114033704
—
TX
01
—
AW60
BCBS
—
Enumeration date
11/18/2005
Last updated
03/02/2023
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