Medina, Stephen Carlos

Medina, Stephen Carlos is an individual health care provider with primary practice located at 1501 N Florence Ave Ste 250 , Claremore OK 74017-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Medina, Stephen Carlos can be contacted via phone (918) 343-8513.

Contact Information

Primary practice address
1501 N Florence Ave Ste 250 Claremore OK 74017-3256
Phone: (918) 343-8513
Fax: (918) 341-7090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 20083 Oklahoma

Profile Details

NPI number 1235182650
LBN Legal business name Medina, Stephen Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated May 3rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235182650 NPPES
Oklahoma MEDICAID 100215260A

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