Individual
REBECCA STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
717 S HOUSTON AVE STE 400, TULSA, OK 74127-9007
(918) 582-7711
(918) 583-5831
Mailing address
5310 E 31ST ST STE 13, TULSA, OK 74135-5013
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2367
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200523770A
—
OK
Enumeration date
01/17/2014
Last updated
01/29/2025
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