Basic Information
Provider Information
NPI: 1124193255
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DANLEY
FirstName: STEVEN
MiddleName: G
NamePrefix: MR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 268922
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731268922
CountryCode: US
TelephoneNumber: 4052726406
FaxNumber: 4052726075
Practice Location
Address1: 1000 N LEE AVE
Address2: ROOM 4404
City: OKLAHOMA CITY
State: OK
PostalCode: 731021036
CountryCode: US
TelephoneNumber: 4052726406
FaxNumber: 4052726078
Other Information
ProviderEnumerationDate: 11/22/2006
LastUpdateDate: 01/24/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X4011OKY Allopathic & Osteopathic PhysiciansHospitalist 
207Q00000X4011OKN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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