Organization
SOUTHEASTERN MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN RIDDEL M.D. (MANAGING PARTNER)
(405) 292-5500
Entity
Organization
Contact information
Practice address
1225 W MAIN ST, STE 205, NORMAN, OK 73069-6824
(405) 292-5500
(405) 292-5505
Mailing address
PO BOX 722606, NORMAN, OK 73070-8981
(405) 292-5500
(405) 292-5505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16862
OK
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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