Organization
STILLWATER UROLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE MACHART (OFFICE MANAGER)
(405) 377-3858
Entity
Organization
Contact information
Practice address
816 S PINE ST, STILLWATER, OK 74074-4349
(405) 377-3858
Mailing address
816 S PINE ST, STILLWATER, OK 74074-4349
(405) 377-3858
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10218
OK
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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