Individual
MR. STEPHEN A FEUERBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W WRANGLER BLVD, SEMINOLE, OK 74868-1917
(405) 382-3650
(405) 382-6028
Mailing address
2401 W WRANGLER BLVD, SEMINOLE, OK 74868-1917
(405) 382-3650
(405) 382-6028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17432
OK
208D00000X
General Practice Physician
17432
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100136690A
—
OK
Enumeration date
03/20/2006
Last updated
09/28/2022
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