Organization · NPI-2

A Vail Stephens MD INC

Family Medicine · Edmond, OK

NPI number1689949885
StatusActive
Last updated in NPPESSep 6, 2013

Details

NPI
1689949885
Entity type
Organization (NPI-2)
Legal business name
A Vail Stephens MD INC
Organization subpart
No
Enumeration date
Mar 20, 2012
Last updated
Sep 6, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine24050OKYes

Other names

  • A Vail Stephens MD PC (Other Name)

Practice location

1701 E 2nd St
Suite A
Edmond, OK 73034-6405

Phone 405-348-2323 · Fax 405-348-2325

Mailing address

Po Box 1550
Choctaw, OK 73020-1550

Phone 405-361-9417 · Fax 405-348-2325

Authorized official

Jillian S Herndon
Billing Director
4055571200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Edmond, OK