Individual
DR. STEPHEN C FIEDOREK
Active
Individual
DR. STEPHEN C FIEDOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
R3678
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160440A
—
OK
05
—
112344001
—
AR
01
—
50644
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/24/2006
Last updated
07/10/2023
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