Organization
HOMESTEAD ALLERGY LLC
Active
Other names
Homestead Allergy
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W SCHAFER DO (OWNER)
(918) 960-1751
Entity
Organization
Contact information
Practice address
222 N MAIN ST, BRISTOW, OK 74010-2408
(918) 367-6533
(918) 367-6544
Mailing address
PO BOX 839, BRISTOW, OK 74010-0839
(918) 367-6533
(918) 367-6544
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
OH
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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