| A Vail Stephens Md Pc | |
|
1701 E 2nd St Suite A Edmond OK 73034-6405 | |
| (405) 348-2323 | |
| (405) 348-2325 |
| Full Name | A Vail Stephens Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 E 2nd St, Edmond, Oklahoma |
| Authorized Official Name and Position | Jillian S Herndon (BILLING DIRECTOR) |
| Authorized Official Contact | 4055571200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Vail Stephens Md Pc Po Box 1550 Choctaw OK 73020-1550 Ph: (405) 361-9417 | A Vail Stephens Md Pc 1701 E 2nd St Suite A Edmond OK 73034-6405 Ph: (405) 348-2323 |
| NPI Number | 1689949885 |
|---|---|
| Provider Enumeration Date | 03/20/2012 |
| Last Update Date | 09/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689949885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24050 (Oklahoma) | Primary |
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