Steven C Petticrew is a Medical in Tulsa, Oklahoma. Steven C Petticrew practices all healthcare services and medical treatments related to Medical. The NPI Number for Steven C Petticrew is 1154499374. The last update date is 2022-07-21.
Steven C Petticrew's current location address is 2811 E 15th St Ste 102, Tulsa, Oklahoma. You can contact this provider via phone number 9189353240 and fax number 9189353241. The mailing address for Steven C Petticrew is 2811 E 15th St Ste 102, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven C Petticrew |
|---|---|
| Address | 2811 E 15th St Ste 102, Tulsa, Oklahoma |
| Phone Number | 9189353240 |
| Fax Number | 9189353241 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1154499374 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2811 E 15th St Ste 102 |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741045242 |
| Phone Number | 9189353240 |
| Fax Number | 9189353241 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1485 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100006600A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Steven C Petticrew by the Centers for Medicare & Medicaid Services?
The Steven C Petticrew has been issued the NPI (National Provider Identifier) 1154499374, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Steven C Petticrew?
The Steven C Petticrew is physically situated at 2811 E 15Th St Ste 102, in the city of Tulsa, state of OK, with the postal code 741045242.
What is Steven C Petticrew's area of expertise and its corresponding taxonomy classification?
The Steven C Petticrew's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
When was the Steven C Petticrew's 1154499374 issued?
The Steven C Petticrew's 1154499374 was issued on 2006-12-04.
When was the information pertaining to Steven C Petticrew most recently updated or revised?
The details related to Steven C Petticrew, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-21.