Organization
TAGUCHI WOMEN'S CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASUTO TAGUCHI M.D. (OWNER)
(405) 372-6246
Entity
Organization
Contact information
Practice address
801 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 372-6246
(405) 743-3003
Mailing address
801 S WALNUT ST, STILLWATER, OK 74074-4226
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23881
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200033130A
—
OK
Enumeration date
05/07/2012
Last updated
05/07/2012
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