# HYDRO MEDICAL CLINIC PLLC

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

## Provider details

- **NPI number:** 1447404868
- **Authorized official:** DR. BRENDA RUTH STUTZMAN DO (OWNER)
- **Authorized official phone:** (405) 663-2291

## Contact information

- **Practice address:** 579 N BROADWAY AVE, HYDRO, OK 73048-8425
- **Practice address phone:** (405) 663-2291
- **Practice address fax:** (405) 663-2191
- **Mailing address:** 579 N BROADWAY AVE, HYDRO, OK 73048-8425
- **Mailing address phone:** (405) 663-2291
- **Mailing address fax:** (405) 663-2191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3099 | OK | Yes |

## Other

- **Enumeration date:** 11/12/2008
- **Last updated:** 04/14/2010