Provider Demographics
NPI:1558620799
Name:STEGER, BRANDON DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:DANIEL
Last Name:STEGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717S UTICA AVE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5346
Mailing Address - Country:US
Mailing Address - Phone:918-748-1300
Mailing Address - Fax:918-748-1303
Practice Address - Street 1:1705 E 19TH ST
Practice Address - Street 2:SUITE 600
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-5405
Practice Address - Country:US
Practice Address - Phone:918-872-6880
Practice Address - Fax:918-949-6570
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK29304207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine