Organization
A VAIL STEPHENS MD INC
Active
Other names
A Vail Stephens MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN S HERNDON (BILLING DIRECTOR)
(405) 557-1200
Entity
Organization
Contact information
Practice address
1701 E 2ND ST, SUITE A, EDMOND, OK 73034-6405
(405) 348-2323
(405) 348-2325
Mailing address
PO BOX 1550, CHOCTAW, OK 73020-1550
(405) 361-9417
(405) 348-2325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24050
OK
Other
Enumeration date
03/20/2012
Last updated
09/06/2013
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