Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 6349 | OK |
NPI | 1003193723 |
---|---|
Provider Name | Dr. Adelaide E Steed |
First Address | Oologah, OK 74053-6364 |
Second Address | Oologah, OK 74053-6364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2011 |
Last Update Date | 02/06/2015 |