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Organization
PROCARE HEALING CENTERS, LLC
Active
Organization
PROCARE HEALING CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENTON STILLWELL (PRESIDENT)
(866) 306-4461
Entity
Organization
Contact information
Practice address
3501 W BROADWAY ST, MUSKOGEE, OK 74401-2138
(866) 306-4461
(405) 300-1336
Mailing address
3501 W BROADWAY ST, MUSKOGEE, OK 74401-2138
(866) 306-4461
(405) 300-1336
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/06/2024
Last updated
06/10/2025
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