# SCHAFER MEDICAL PLLC

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

## Provider details

- **NPI number:** 1093291601
- **Authorized official:** DR. RYAN WILSON SCHAFER DO (PRESIDENT)
- **Authorized official phone:** (580) 319-1410

## Contact information

- **Practice address:** 800 ISABEL ST, ARDMORE, OK 73401-5118
- **Practice address phone:** (580) 223-5432
- **Practice address fax:** (580) 223-6076
- **Mailing address:** 800 ISABEL ST, ARDMORE, OK 73401-5118
- **Mailing address phone:** (580) 223-5432
- **Mailing address fax:** (580) 223-6076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4352 | OK | Yes |

## Other

- **Enumeration date:** 07/17/2018
- **Last updated:** 07/08/2020