DR. Stephanie P Souvannachak-Cowick, OD

NPI #1962926253 in Tulsa, Oklahoma

Provider Information

NPI Number: 1962926253
Entity Type: Individual
Name: DR. Stephanie P Souvannachak-Cowick, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 28, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 10920 S MEMORIAL DR
City: Tulsa
State: Oklahoma
ZIP Code: 74133-7352
Phone: (918) 366-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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