Healthcare Provider Details

I. General information

NPI: 1871621037
Provider Name (Legal Business Name): STEVEN DUFFY, DC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4430 NW 50TH ST SUITE A
OKLAHOMA CITY OK
73112-2295
US

IV. Provider business mailing address

4430 NW 50TH ST SUITE A
OKLAHOMA CITY OK
73112-2295
US

V. Phone/Fax

Practice location:
  • Phone: 405-949-0434
  • Fax: 405-949-0330
Mailing address:
  • Phone: 405-949-0434
  • Fax: 405-949-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number3568
License Number StateOK

VIII. Authorized Official

Name: DR. STEVEN WAYNE DUFFY
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 405-949-0434