MEDICARE: DR. STEVEN JAMES BROWN DC

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
1	111N00000X	Chiropractor	2649	OK

General Provider Information

NPI Number	:	1699000513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN JAMES BROWN DC

Provider Business Mailing Address
First Line	:	718 S COLUMBIA AVE APT B
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74104-3359
Country	:	US
Telephone Number	:	918-902-8035
Fax Number	:

Provider Business Practice Location Address
First Line	:	718 S COLUMBIA AVE APT B
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74104-3359
Country	:	US
Telephone Number	:	918-902-8035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2009
Last Update Date	:	10/09/2009

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