Organization
MARYETTA SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARTHEL MEANS (SUPERINTENDENT)
(918) 696-2285
Entity
Organization
Contact information
Practice address
RR 6 BOX 2840, STILWELL, OK 74960-9452
(918) 696-2285
(918) 696-6746
Mailing address
RR 6 BOX 2840, STILWELL, OK 74960-9452
(918) 696-2285
(918) 696-6746
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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