Organization
STOVER FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RENEE STOVER RN, NP-C (OWNER)
(580) 584-6600
Entity
Organization
Contact information
Practice address
813 VETERANS WAY, BROKEN BOW, OK 74728
(580) 584-6600
(580) 584-6603
Mailing address
813 VETERANS WAY, BROKEN BOW, OK 74728
(580) 584-6600
(580) 584-6603
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
R0096200
OK
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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