Individual
DR. STEPHEN MARK SPIELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15508 LAGUNA DR, EDMOND, OK 73013-8925
(405) 702-3680
Mailing address
15508 LAGUNA DR, EDMOND, OK 73013-8925
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12906
OK
207RI0011X
Interventional Cardiology Physician
Primary
12906
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060066545
RAILROAD MEDICARE
OK
05
—
100199090E
—
OK
Enumeration date
10/04/2005
Last updated
11/06/2020
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