Healthcare Provider Details

I. General information

NPI: 1376728907
Provider Name (Legal Business Name): STEVEN S SANDS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 04/14/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 NW 139TH ST STE A
OKLAHOMA CITY OK
73142-1919
US

IV. Provider business mailing address

8100 S WALKER AVE BLDG A
OKLAHOMA CITY OK
73139-9475
US

V. Phone/Fax

Practice location:
  • Phone: 405-635-3511
  • Fax: 405-603-2240
Mailing address:
  • Phone: 405-632-4468
  • Fax: 405-619-4487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number4331
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number4331
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: