| Stillwater Histology Llc | |
|
1301 W. 6th St Suite 106 Stillwater OK 74074 | |
| (405) 372-2390 | |
| (405) 742-5706 |
| Full Name | Stillwater Histology Llc |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 1301 W. 6th St, Stillwater, Oklahoma |
| Authorized Official Name and Position | Thomas A. Swafford (CO-OWNER) |
| Authorized Official Contact | 4053722390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Histology Llc 1301 W. 6th St Suite 106 Stillwater OK 74074 Ph: (405) 372-2390 | Stillwater Histology Llc 1301 W. 6th St Suite 106 Stillwater OK 74074 Ph: (405) 372-2390 |
| NPI Number | 1760720668 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 01/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760720668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Oklahoma) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (Oklahoma) | Primary |
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