Most Relevant Information
Provider Data
| NPI Number: | 1003053752 |
| Provider Name: | STEVEN E STREET CPO |
| Entity Type: | Individual |
| Taxonomy Code: | 222Z00000X |
| Specialty: | Orthotist |
| License Number: | OPP00160 |
Most Important Dates
| Enumeration Date: | 01/16/2009 |
| Last Updated: | 01/16/2009 |
Provider Practice Location
10014 W MARKHAM ST
LITTLE ROCK
AR
722052130
Practice Location Phone/Fax
| Phone: | 5012254557 |
| Fax: | 5012251771 |
Provider Mailing Location
10014 W MARKHAM ST
LITTLE ROCK
AR
722052130
Provider Mailing Phone/Fax
| Phone: | 5012254557 |
| Fax: | 5012251771 |