| Oklahoma State University | |
|
101 Hes-west Oklahoma State University Stillwater OK 74078-6122 | |
| (405) 744-5058 | |
| (405) 744-2800 |
| Full Name | Oklahoma State University |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101 Hes-west, Stillwater, Oklahoma |
| Authorized Official Name and Position | Stephan M. Wilson (DEAN, COLLEGE OF HES) |
| Authorized Official Contact | 4057449805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma State University 233 Hes Oklahoma State University Stillwater OK 74078-6122 Ph: (405) 744-5058 | Oklahoma State University 101 Hes-west Oklahoma State University Stillwater OK 74078-6122 Ph: (405) 744-5058 |
| NPI Number | 1679872535 |
|---|---|
| Provider Enumeration Date | 03/17/2011 |
| Last Update Date | 03/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679872535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 872 (Oklahoma) | Primary |
| 251S00000X | Community/behavioral Health | 920 (Oklahoma) | Secondary |
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