Osu-aj Smpc West | |
1815 W 6th Ave Stillwater OK 74074-4202 | |
(918) 561-8306 | |
(918) 561-5747 |
Full Name | Osu-aj Smpc West |
---|---|
Speciality | Clinic/center |
Location | 1815 W 6th Ave, Stillwater, Oklahoma |
Authorized Official Name and Position | Eric Polak (VICE PRESIDENT FOR ADMIN/FINANCE) |
Authorized Official Contact | 9185618422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Osu-aj Smpc West 2345 Southwest Blvd Tulsa OK 74107-2705 Ph: (918) 561-8306 | Osu-aj Smpc West 1815 W 6th Ave Stillwater OK 74074-4202 Ph: (918) 561-8306 |
NPI Number | 1366825507 |
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Provider Enumeration Date | 07/07/2015 |
Last Update Date | 04/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366825507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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