Individual
STEPHANIE IGTIBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(850) 416-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156613
FL
207R00000X
Internal Medicine Physician
Primary
44251
OK
207R00000X
Internal Medicine Physician
59791
KY
207R00000X
Internal Medicine Physician
A200932
CA
208M00000X
Hospitalist Physician
ME156613
FL
Other
Enumeration date
04/01/2019
Last updated
05/28/2025
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