# COMCARE OF STILLWATER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063877462
- **Authorized official:** JUSTIN TURNER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (405) 605-3227

## Contact information

- **Practice address:** 1417 S WESTERN RD, STILLWATER, OK 74074-6957
- **Practice address phone:** (405) 707-3091
- **Practice address fax:** (405) 707-3092
- **Mailing address:** 5909 NW EXPRESSWAY, SUITE 300, OKLAHOMA CITY, OK 73132-5161
- **Mailing address phone:** (405) 605-3227
- **Mailing address fax:** (405) 470-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2015
- **Last updated:** 12/29/2015