Organization
HYDRO MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA RUTH STUTZMAN DO (OWNER)
(405) 663-2291
Entity
Organization
Contact information
Practice address
579 N BROADWAY AVE, HYDRO, OK 73048-8425
(405) 663-2291
(405) 663-2191
Mailing address
579 N BROADWAY AVE, HYDRO, OK 73048-8425
(405) 663-2291
(405) 663-2191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3099
OK
Other
Enumeration date
11/12/2008
Last updated
04/14/2010
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