Provider Demographics
NPI:1518566405
Name:TRUMMEL, STEVE CAMERON
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:CAMERON
Last Name:TRUMMEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 S ELM ST
Mailing Address - Street 2:
Mailing Address - City:OOLOGAH
Mailing Address - State:OK
Mailing Address - Zip Code:74053-3017
Mailing Address - Country:US
Mailing Address - Phone:918-443-2414
Mailing Address - Fax:918-443-2415
Practice Address - Street 1:459 S ELM ST
Practice Address - Street 2:
Practice Address - City:OOLOGAH
Practice Address - State:OK
Practice Address - Zip Code:74053-3017
Practice Address - Country:US
Practice Address - Phone:918-443-2414
Practice Address - Fax:918-443-2415
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy