Provider Demographics
NPI:1053383497
Name:CONNER, STEPHEN B (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:B
Last Name:CONNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:405-359-2266
Mailing Address - Fax:405-359-2015
Practice Address - Street 1:1600 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6357
Practice Address - Country:US
Practice Address - Phone:405-359-2266
Practice Address - Fax:405-359-2015
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2016-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK10575207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100111470AMedicaid
OK200040034Medicare PIN
OKD34530Medicare UPIN
OK100111470AMedicaid