MEDICARE: RICHARD BART STEEN HIS

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	237700000X	Hearing Instrument Specialist	951	OK

General Provider Information

NPI Number	:	1962605444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD BART STEEN HIS

Provider Business Mailing Address
First Line	:	1535 SUNWAY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-7020
Country	:	US
Telephone Number	:	405-733-8286
Fax Number	:

Provider Business Practice Location Address
First Line	:	6803 E RENO AVE
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-2167
Country	:	US
Telephone Number	:	405-733-8286
Fax Number	:	405-732-9765

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

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/08/2007

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