Individual
DR. STEPHEN ARTHUR BACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
744 W. 9TH ST., TULSA, OK 74127
(918) 599-5920
Mailing address
744 W. 9TH ST., TULSA, OK 74127
(918) 599-5920
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4502
OK
Other
Enumeration date
09/02/2009
Last updated
03/07/2011
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