Healthcare Provider Details

I. General information

NPI: 1588184014
Provider Name (Legal Business Name): NEWSTEP PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9306 S TOLEDO CT STE 200
TULSA OK
74137-2746
US

IV. Provider business mailing address

9306 S TOLEDO CT STE 200
TULSA OK
74137-2746
US

V. Phone/Fax

Practice location:
  • Phone: 918-584-8880
  • Fax: 918-584-8881
Mailing address:
  • Phone: 918-584-8880
  • Fax: 918-584-8881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number277
License Number StateOK

VIII. Authorized Official

Name: CARL MILLER
Title or Position: PRESIDENT
Credential: DPM
Phone: 918-584-8880