Healthcare Provider Details

I. General information

NPI: 1962427997
Provider Name (Legal Business Name): STEVE SCOTT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 09/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 S WHEELING AVE SUITE 500
TULSA OK
74104-5638
US

IV. Provider business mailing address

1515 N HARVARD AVE SUITE E
TULSA OK
74115-4957
US

V. Phone/Fax

Practice location:
  • Phone: 918-748-7650
  • Fax: 918-293-3147
Mailing address:
  • Phone: 918-832-6049
  • Fax: 918-832-6055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number19020
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: