Individual
DR. STEPHEN TREY BASTIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 774-1400
Mailing address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7722
OK
Other
Enumeration date
05/28/2021
Last updated
06/24/2024
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