Provider Demographics
NPI:1639987415
Name:DUNAGAN, STEVE ANDREW
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:ANDREW
Last Name:DUNAGAN
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 1:1005 S ROZELL LN APT 19
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:OK
Mailing Address - Zip Code:74834-3463
Mailing Address - Country:US
Mailing Address - Phone:405-765-3300
Mailing Address - Fax:
Practice Address - Street 1:1005 S ROZELL LN APT 19
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:OK
Practice Address - Zip Code:74834-3463
Practice Address - Country:US
Practice Address - Phone:405-765-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist