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Individual

STEPHEN JOSEPH BRASSEUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5310 E 31ST ST FL LL, TULSA, OK 74135-5018
(918) 236-4000
(918) 236-4001
Mailing address
5310 E 31ST ST FL 13, TULSA, OK 74135-5018
(918) 561-5701
(918) 561-1173

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-6485
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200788050A
OK
01
704532
MEDICARE
OK
Enumeration date
10/19/2006
Last updated
05/12/2021
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