Organization
STILLWATER MEDICAL CENTER AUTHORITY
Active
Other names
Community Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ADRIENNE WEBBER (CEO)
(405) 742-5230
Entity
Organization
Contact information
Practice address
1318 ELM ST, PERRY, OK 73077-5034
(580) 336-9411
(580) 336-9422
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
(405) 533-6057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
OK
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/09/2018
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