Individual
DR. STEPHEN KOVACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13616 E 103RD ST N, STE A, OWASSO, OK 74055-4586
(918) 274-8555
(918) 274-8556
Mailing address
13616 E 103RD ST N, STE A, OWASSO, OK 74055-4586
(918) 274-8555
(918) 274-8556
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3860
OK
207Q00000X
Family Medicine Physician
Primary
3860
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100060270A
—
OK
Enumeration date
10/19/2006
Last updated
03/27/2009
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