Individual
STEPHEN TKACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3056 BRUSH CREEK RD, OKLAHOMA CITY, OK 73120-1856
(405) 751-3515
Mailing address
3056 BRUSH CREEK RD, OKLAHOMA CITY, OK 73120-1856
(405) 751-3515
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
820P
OK
Other
Enumeration date
07/12/2005
Last updated
02/22/2016
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