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Organization
STILLWATER HISTOLOGY LLC
Active
Organization
STILLWATER HISTOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A. SWAFFORD M.D. (CO-OWNER)
(405) 372-2390
Entity
Organization
Contact information
Practice address
1301 W. 6TH ST, SUITE 106, STILLWATER, OK 74074
(405) 372-2390
(405) 742-5706
Mailing address
1301 W. 6TH ST, SUITE 106, STILLWATER, OK 74074
(405) 372-2390
(405) 742-5706
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
OK
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
OK
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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