MEDICARE: DR. STEVEN WAYNE DUFFY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3568	OK

General Provider Information

NPI Number	:	1497811996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN WAYNE DUFFY D.C.

Provider Business Mailing Address
First Line	:	4430 NW 50TH ST
Second Line	:	SUITE A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2295
Country	:	US
Telephone Number	:	405-949-0434
Fax Number	:	405-949-0330

Provider Business Practice Location Address
First Line	:	4430 NW 50TH ST
Second Line	:	SUITE A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2298
Country	:	US
Telephone Number	:	405-949-0434
Fax Number	:	405-949-0330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	10/11/2016

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