Provider Demographics
NPI:1386455384
Name:PIPESTEM, VICTORIA LEIGH
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LEIGH
Last Name:PIPESTEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 AYA AVE
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-5037
Mailing Address - Country:US
Mailing Address - Phone:747-244-8502
Mailing Address - Fax:
Practice Address - Street 1:1924 AYA AVE
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-5037
Practice Address - Country:US
Practice Address - Phone:747-244-8502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-17
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist