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Individual

DR. STEPHEN J KROMPECHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 W 3RD ST, ELK CITY, OK 73644-5145
(580) 821-5346
(580) 821-5582
Mailing address
PO BOX 98535, RALEIGH, NC 27624-8535
(919) 420-7811
(919) 420-7815

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
15427
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100042120A
OK
Enumeration date
11/17/2006
Last updated
07/15/2010
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