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Organization

STAMAR MEDICAL PLC

Active
Other names
Homestead Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY MARTIN APRN (OWNER)
(918) 284-6642
Entity
Organization

Contact information

Practice address
550 W 125TH PL S STE 200, GLENPOOL, OK 74033-5026
(918) 224-7305
(918) 518-5730
Mailing address
550 W 125TH PL S STE 200, GLENPOOL, OK 74033-5026
(918) 224-7305
(918) 518-5730

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3218
OK

Other

Enumeration date
10/04/2013
Last updated
11/19/2024
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