Stillwater Medical Center Authority

NPI #1538491220 in Stillwater, Oklahoma

Provider Information

NPI Number
1538491220
Entity Type
Organization
Organization Name
Stillwater Medical Center Authority
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Feb 4, 2010
Last Updated
Feb 4, 2010

Practice Location

Address
5200 W 6TH AVE
ZIP Code
74074-6701
Phone
(405) 780-7000

Authorized Official

Name
JERRY G MOELLER
Title
PRESIDENT/CEO
Phone
(405) 742-5230

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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