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NPI Code Detail

MEDICARE: DR. RANDEL DEAN ESTEP DO

MEDICARE:  DR. RANDEL DEAN ESTEP  DO
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
12083X0100XOccupational Medicine Physician00757960OK

General Provider Information

NPI Number : 1073512711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDEL DEAN ESTEP DO
Provider Business Mailing Address
First Line : 9600 BROADWAY EXT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-7408
Country : US
Telephone Number : 405-230-9000
Fax Number : 405-230-9175
Provider Business Practice Location Address
First Line : 4901 W RENO AVE
Second Line : STE 500
City : OKLAHOMA CITY
State : OK
Zip : 73127-6346
Country : US
Telephone Number : 405-230-9250
Fax Number : 405-943-0742
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 12/23/2021

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Directions to “ DR. RANDEL DEAN ESTEP DO” Practice Location

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