Organization
MEDSTAFFPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON WOODS (CHIEF EXECUTIVE OFFICER)
(918) 779-7428
Entity
Organization
Contact information
Practice address
410 N MAIN ST, MIDDLEBURY, IN 46540-9216
(574) 825-5002
(574) 825-2055
Mailing address
4500 S 129TH EAST AVE, STE 191, TULSA, OK 74134-5801
(918) 779-7900
(918) 779-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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