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Contact Information

STEVEN L FILLMORE, MD
1921 STONECIPHER BLVD
ADA, OK74820
 Phone: 580-421-4570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STEVEN L FILLMORE · (Male)

NPI Number 1225010655
Status Active
Credentials MD
Entity Individual
Enumeration date 11/21/2005
Last updated 09/14/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 14295
  • OK Medicaid 100259020A
Hospital affiliation(s)
  • USPHS LAWTON INDIAN HOSPITAL - (Acute Care)
    1515 LAWRIE TATUM ROAD
    LAWTON, OK 73507
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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