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Organization
CORNERSTONE FAMILY MEDICINE PLLC
Active
Organization
CORNERSTONE FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEENAN FERGUSON DO (OWNER/PHYSICIAN)
(580) 254-5316
Entity
Organization
Contact information
Practice address
4902 OKLAHOMA AVE, WOODWARD, OK 73801-3713
(580) 254-5316
(580) 254-0130
Mailing address
3100 DOWNS AVE, WOODWARD, OK 73801-5328
(580) 254-5316
(580) 254-0130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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