Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Other names
Comprehensive Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN L HENDREN (CFO)
(405) 742-5729
Entity
Organization
Contact information
Practice address
1301 W 6TH AVE, SUITE 108, STILLWATER, OK 74074-4375
(405) 533-2667
Mailing address
1323 W 6TH AVE, BOX 2408, STILLWATER, OK 74074-4306
(405) 533-2667
(405) 742-4990
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4112
OK
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
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