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NPI Code Detail

MEDICARE: STEPHEN ZOHAR SACK MD

MEDICARE: STEPHEN ZOHAR SACK 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
12085R0001XRadiation Oncology PhysicianMT182252PA

General Provider Information

NPI Number : 1548319940
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN ZOHAR SACK MD
Provider Business Mailing Address
First Line : 11212 E 48TH ST
Second Line :
City : TULSA
State : OK
Zip : 74146-5824
Country : US
Telephone Number : 918-497-3715
Fax Number : 918-884-7282
Provider Business Practice Location Address
First Line : 11212 E 48TH ST
Second Line :
City : TULSA
State : OK
Zip : 74146-5824
Country : US
Telephone Number : 918-497-3715
Fax Number : 918-884-7282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 10/14/2020

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Directions to “ STEPHEN ZOHAR SACK MD” Practice Location

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