Organization
OCA STILLWATER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CORNETT D.O. (OWNER/PHYSICIAN)
(405) 334-5272
Entity
Organization
Contact information
Practice address
275 S PERKINS RD, STILLWATER, OK 74074-3665
(405) 334-5272
Mailing address
275 S. PERKINS, STILLWATER, OK 74074-3665
(405) 334-5272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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