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Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Other names
Stillwater Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MOELLER (CEO)
(405) 742-5701
Entity
Organization
Contact information
Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 372-1480
Mailing address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 372-1480
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2272
OK
Other
Enumeration date
02/07/2006
Last updated
08/22/2020
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