Organization
SCHAFER MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN WILSON SCHAFER D.O. (OWNER)
(580) 688-3314
Entity
Organization
Contact information
Practice address
502 E CHESTNUT ST, HOLLIS, OK 73550-2032
(580) 688-3314
(580) 688-9530
Mailing address
PO BOX 231, HOLLIS, OK 73550-0231
(580) 688-3314
(580) 688-9530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4352
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4352
MEDICAL LICENSE
OK
Enumeration date
06/01/2006
Last updated
08/22/2020
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