| Advanced Wellness Clinic, Inc | |
|
601 S Mission St Sapulpa OK 74066-4657 | |
| (918) 224-5900 | |
| (918) 224-6642 |
| Full Name | Advanced Wellness Clinic, Inc |
|---|---|
| Speciality | General Practice |
| Location | 601 S Mission St, Sapulpa, Oklahoma |
| Authorized Official Name and Position | Corey Michael Stubbs (OWNER) |
| Authorized Official Contact | 9182245900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wellness Clinic, Inc 601 S Mission St Sapulpa OK 74066-4657 Ph: (918) 224-5900 | Advanced Wellness Clinic, Inc 601 S Mission St Sapulpa OK 74066-4657 Ph: (918) 224-5900 |
| NPI Number | 1578080883 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578080883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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