| Southwesten Oklahoma State University Training Room | |
|
100 Campus Dr Weatherford OK 73096-3001 | |
| (972) 687-1893 | |
| Not Available |
| Full Name | Southwesten Oklahoma State University Training Room |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 100 Campus Dr, Weatherford, Oklahoma |
| Authorized Official Name and Position | Edwin Detweiler (HEAD ATHLETIC TRAINER) |
| Authorized Official Contact | 5807743073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwesten Oklahoma State University Training Room Po Box 819020 Dallas TX 75381-9020 Ph: (972) 687-1893 | Southwesten Oklahoma State University Training Room 100 Campus Dr Weatherford OK 73096-3001 Ph: (972) 687-1893 |
| NPI Number | 1881974244 |
|---|---|
| Provider Enumeration Date | 08/17/2011 |
| Last Update Date | 08/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881974244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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