Healthcare Provider Details

I. General information

NPI: 1437190972
Provider Name (Legal Business Name): STEPHEN ARTHURS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 11/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HOSPITAL CIR
KINGFISHER OK
73750-5001
US

IV. Provider business mailing address

PO BOX 844737
DALLAS TX
75284-4737
US

V. Phone/Fax

Practice location:
  • Phone: 405-375-2350
  • Fax: 405-375-2368
Mailing address:
  • Phone: 903-416-1726
  • Fax: 903-416-1701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12185
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: