Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Other names
Stillwater Medical Clinic of Tonkawa
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALAN LOVELACE (CFO)
(405) 742-5729
Entity
Organization
Contact information
Practice address
105 E GRAND AVE, TONKAWA, OK 74653-3503
(580) 308-3080
(833) 973-4377
Mailing address
PO BOX 802738, KANSAS CITY, MO 64180-2738
(405) 742-5300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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