Organization
STIGLER HEALTH AND WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE L BRACKEN (BILLING/CREDENTIALING)
(918) 967-4560
Entity
Organization
Contact information
Practice address
1505 E MAIN ST, STIGLER, OK 74462-2913
(918) 967-3368
(918) 967-3351
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-4560
(918) 967-4582
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
37D1039335
OK
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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