T STEVEN IVAN

ADA, OK
NPI1992763411
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  4082)
Enumeration Date2006-05-03
Last Update Date2018-11-13
Business Address
T STEVEN IVAN DO
530 N MONTE VISTA ST STE A
ADA, OK 74820-4675
Phone number: 580-310-9510
Mailing Address
T STEVEN IVAN DO
530 N MONTE VISTA ST SUITE A
ADA, OK 74820-4675
Phone number: 580-310-9510
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