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Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Other names
Community Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ADRIENNE WEBBER (CEO)
(405) 742-5230
Entity
Organization
Contact information
Practice address
1318 ELM ST, PERRY, OK 73077-5034
(580) 336-9411
(580) 336-9422
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
(405) 533-6057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
OK
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/06/2018
Last updated
03/09/2018
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