Healthcare Provider Details

I. General information

NPI: 1891793790
Provider Name (Legal Business Name): STEVEN C. SCHULTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4217 28TH AVE NW STE 111
NORMAN OK
73069-8296
US

IV. Provider business mailing address

4217 28TH AVE NW STE 111
NORMAN OK
73069-8296
US

V. Phone/Fax

Practice location:
  • Phone: 405-310-4211
  • Fax: 405-857-7215
Mailing address:
  • Phone: 405-310-4211
  • Fax: 405-857-7215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number23705
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: