Provider Demographics
NPI:1538331483
Name:STEEL, FARRINA
Entity Type:Individual
Prefix:
First Name:FARRINA
Middle Name:
Last Name:STEEL
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 1:214A CHEROKEE TRAIL
Mailing Address - Street 2:P.O. BOX 1382
Mailing Address - City:BURNS FLAT
Mailing Address - State:OK
Mailing Address - Zip Code:73624-1382
Mailing Address - Country:US
Mailing Address - Phone:580-339-0600
Mailing Address - Fax:
Practice Address - Street 1:3080 W. 3RD STREET
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644
Practice Address - Country:US
Practice Address - Phone:580-225-5136
Practice Address - Fax:580-225-5136
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker