Organization
BRISTOW MEDICAL CENTER OPERATING COMPANY
Active
Other names
Bristow Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STAN EARNHARDT (AUTHORIZED OFFCIAL)
(918) 367-2215
Entity
Organization
Contact information
Practice address
700 W 7TH AVE, SUITE 6, BRISTOW, OK 74010-2302
(918) 367-2215
Mailing address
700 W 7TH AVE, SUITE 6, BRISTOW, OK 74010-2302
(918) 367-2215
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
10/16/2009
Last updated
01/12/2010
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