Organization
OB-GYN OF GREEN COUNTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANA M STUTZMAN NP (VP)
(918) 825-4800
Entity
Organization
Contact information
Practice address
14 S VANN ST, PRYOR, OK 74361-3613
(918) 825-4800
(918) 825-4809
Mailing address
14 S VANN ST, PRYOR, OK 74361-3613
(918) 825-4800
(918) 825-4809
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R0071260
OK
Other
Enumeration date
05/15/2006
Last updated
04/20/2008
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