Organization
ADVANCED WELLNESS CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY MICHAEL STUBBS D.C. (OWNER)
(918) 224-5900
Entity
Organization
Contact information
Practice address
601 S MISSION ST, SAPULPA, OK 74066-4657
(918) 224-5900
(918) 224-6642
Mailing address
601 S MISSION ST, SAPULPA, OK 74066-4657
(918) 224-5900
(918) 224-6642
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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