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Organization

STILLWATER MEDICAL CENTER AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE WEBBER (CEO)
(405) 742-5701
Entity
Organization

Contact information

Practice address
1323 W 6TH AVE, STILLWATER, OK 74074-4306
(405) 372-1480
(405) 742-4990
Mailing address
PO BOX 1209, STILLWATER, OK 74076-1209
(405) 372-1480
(405) 742-4990

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RG0100X
Gastroenterology Physician
207RI0011X
Interventional Cardiology Physician
207V00000X
Obstetrics & Gynecology Physician
2084N0400X
Neurology Physician
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
208600000X
Surgery Physician
208M00000X
Hospitalist Physician
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
08/01/2006
Last updated
06/08/2021
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