Organization
STEPHEN W WOODSON DO INC
Active
Other names
Woodson Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN W WOODSON DO (OWNER)
(918) 967-3355
Entity
Organization
Contact information
Practice address
907 NW 5TH ST, STIGLER, OK 74462-1611
(918) 967-3355
(918) 967-8863
Mailing address
PO BOX 480, STIGLER, OK 74462-0480
(918) 967-3355
(918) 967-8863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2123
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080020414
RR MEDICARE
—
05
—
100089460A
—
OK
Enumeration date
10/02/2006
Last updated
02/10/2009
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