Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 6843 | OK |
NPI | 1285945998 |
---|---|
Provider Name | Steven Andrew Brown |
First Address | Tulsa, OK 74136-3331 |
Second Address | Tulsa, OK 74136-7816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 08/04/2020 |