Organization
STILLWATER HEART CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR DARRELL HAGAN M.D (PRESIDENT)
(405) 743-2354
Entity
Organization
Contact information
Practice address
1301 W 6TH AVE, SUITE 110, STILLWATER, OK 74074-4375
(405) 743-2354
(405) 743-2950
Mailing address
1301 W 6TH AVE, SUITE 110, STILLWATER, OK 74074-4375
(405) 743-2354
(405) 743-2950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15022
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100743440A
—
OK
Enumeration date
09/27/2006
Last updated
12/11/2009
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