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NPI Code Detail

MEDICARE: STEPHEN CALVERT M.D.

MEDICARE: STEPHEN CALVERT M.D.
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
1207R00000XInternal Medicine Physician22446OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902875420
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN CALVERT M.D.
Provider Business Mailing Address
First Line : 8115 S MEMORIAL DR
Second Line :
City : TULSA
State : OK
Zip : 74133-4331
Country : US
Telephone Number : 918-254-6315
Fax Number : 918-403-6315
Provider Business Practice Location Address
First Line : 8115 S MEMORIAL DR
Second Line :
City : TULSA
State : OK
Zip : 74133-4331
Country : US
Telephone Number : 918-254-6315
Fax Number : 918-403-6315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 08/26/2024

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