| St Anthony Physicians-stroud Family Medicine | |
|
2308 W Highway 66 Suite B Stroud OK 74079-6729 | |
| (918) 968-4469 | |
| (918) 968-1618 |
| Full Name | St Anthony Physicians-stroud Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2308 W Highway 66, Stroud, Oklahoma |
| Authorized Official Name and Position | Crystal L Pena (INSURANCE CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4052727452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony Physicians-stroud Family Medicine Po Box 849 Shawnee OK 74802-0849 Ph: (918) 968-4469 | St Anthony Physicians-stroud Family Medicine 2308 W Highway 66 Suite B Stroud OK 74079-6729 Ph: (918) 968-4469 |
| NPI Number | 1487922993 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487922993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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