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NPI Code Detail

MEDICARE: STEVEN MATTHEW GEARHART D.O.

MEDICARE: STEVEN MATTHEW GEARHART D.O.
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
1207P00000XEmergency Medicine Physician5214OK

General Provider Information

NPI Number : 1811280506
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN MATTHEW GEARHART D.O.
Provider Business Mailing Address
First Line : 5310 E 31ST ST STE 13
Second Line :
City : TULSA
State : OK
Zip : 74135-5013
Country : US
Telephone Number : 918-561-5701
Fax Number : 918-561-1173
Provider Business Practice Location Address
First Line : 744 W 9TH ST
Second Line :
City : TULSA
State : OK
Zip : 74127-9907
Country : US
Telephone Number : 918-599-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2011
Last Update Date : 03/15/2024

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