Individual
STEPHEN W HEIMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 NE 13TH ST, SUITE 200, OKLAHOMA ALLERGY BUILDING, OKLAHOMA CITY, OK 73104-5051
(405) 271-4351
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18991
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090830G
—
OK
Enumeration date
03/09/2006
Last updated
07/08/2007
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