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Organization

STUART FAMILY MEDICINE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANNA K STUART M.D. (OWNER)
(580) 938-5400
Entity
Organization

Contact information

Practice address
905 S. MAIN STREET, SHATTUCK, OK 73858-0827
(580) 938-5400
(580) 938-5409
Mailing address
PO BOX 827, SHATTUCK, OK 73858-0827
(580) 938-5400
(580) 938-5409

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
24874
OK

Other

Enumeration date
12/02/2010
Last updated
04/17/2018
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