Provider Demographics
NPI:1881388965
Name:JAMES, STEVEN DEAN
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DEAN
Last Name:JAMES
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 1:411 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-3313
Mailing Address - Country:US
Mailing Address - Phone:919-636-0293
Mailing Address - Fax:
Practice Address - Street 1:411 N 7TH ST
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-3313
Practice Address - Country:US
Practice Address - Phone:919-636-0293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist