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NPI Code Detail

MEDICARE: STEFAN IORGA MD

MEDICARE: STEFAN IORGA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician24300OK

General Provider Information

NPI Number : 1023095551
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFAN IORGA MD
Provider Business Mailing Address
First Line : 2020 ARLINGTON ST STE 2
Second Line :
City : ADA
State : OK
Zip : 74820-2822
Country : US
Telephone Number : 580-436-1506
Fax Number : 580-436-1519
Provider Business Practice Location Address
First Line : 2020 ARLINGTON ST STE 2
Second Line :
City : ADA
State : OK
Zip : 74820-2822
Country : US
Telephone Number : 580-436-1506
Fax Number : 580-436-1519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 11/13/2018

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Directions to “ STEFAN IORGA MD” Practice Location

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