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Dr. Stephen Trey Bastible, DO
Student in an Organized Health Care Education/Training Program in Tahlequah, Oklahoma
NPI 1639745888

Stephen Trey Bastible is a Student in an Organized Health Care Education/Training Program based in Tahlequah, OK. Stephen Trey Bastible practices in Tahlequah, OK and has the professional credentials of DO. The NPI Number for Stephen Trey Bastible is 1639745888 and holds a License No. (Oklahoma).

The current practice location address for Stephen Trey Bastible is 1400 E Downing St, Tahlequah, OK and can be reached out via phone at 918-456-0641.

Location: 1400 E Downing St, Tahlequah, OK, 74464-3324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639745888
Provider Name
Stephen Trey Bastible
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1400 E Downing St, Tahlequah, OK, 74464-3324
Phone Number
918-456-0641
Fax Number
Provider Enumeration Date
05/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 E Downing St
City
Tahlequah
State
Oklahoma
Zip
74464-3324
Phone Number
918-456-0641
Fax Number
person
Provider Business Mailing Address Details
Address
1400 E Downing St
City
Tahlequah
State
Oklahoma
Zip
74464-3324
Phone Number
918-456-0641
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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