Provider Demographics
NPI:1285915504
Name:ADAMSON, STEVE (DPH)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:ADAMSON
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10032 S CANTON AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-5415
Mailing Address - Country:US
Mailing Address - Phone:918-369-7044
Mailing Address - Fax:918-369-7091
Practice Address - Street 1:11118 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-2038
Practice Address - Country:US
Practice Address - Phone:918-369-7044
Practice Address - Fax:918-369-7091
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11225183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist