| Stephen L Fricke Odpc | |
|
316 W 71st St Tulsa OK 74132-2008 | |
| (918) 446-3171 | |
| (918) 446-5938 |
| Full Name | Stephen L Fricke Odpc |
|---|---|
| Speciality | Clinic/center |
| Location | 316 W 71st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Stephen L Fricke (PRESIDENT) |
| Authorized Official Contact | 9184463171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen L Fricke Odpc 316 W 71st St Tulsa OK 74132-2008 Ph: (918) 446-3171 | Stephen L Fricke Odpc 316 W 71st St Tulsa OK 74132-2008 Ph: (918) 446-3171 |
| NPI Number | 1821263237 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821263237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 865 (Oklahoma) | Primary |
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