Individual
STEPHEN ISERNHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3700 36TH AVE NW, NORMAN, OK 73072-1803
(405) 230-9600
(405) 230-9601
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 230-9600
(405) 230-9157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2613
OK
Other
Enumeration date
01/07/2016
Last updated
08/09/2019
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