Individual
STEVE C. WALKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
13313 N MERIDIAN AVE STE D, OKLAHOMA CITY, OK 73120-8316
(405) 755-4290
(405) 755-7773
Mailing address
13313 N MERIDIAN AVE STE D, OKLAHOMA CITY, OK 73120-8316
(405) 755-4290
(405) 755-7773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
749
OK
363AM0700X
Medical Physician Assistant
749
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100718840B
—
OK
Enumeration date
10/06/2005
Last updated
04/02/2024
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