Individual
RONALD FRANCIS DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3460 E 76TH ST, TULSA, OK 74136-8040
(918) 481-1809
(918) 481-1809
Mailing address
3460 E 76TH ST, TULSA, OK 74136-8040
(918) 481-1809
(918) 481-1809
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
2431
OK
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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