Triad Complete Healthcare A06 LLC
NPI #1932809738 in Stillwater, Oklahoma
Provider Information
- NPI Number
- 1932809738
- Entity Type
- Organization
- Organization Name
- Triad Complete Healthcare A06 LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 9, 2023
- Last Updated
- Feb 18, 2025
Practice Location
- Address
- 1411 W 12TH AVE STE E
- City
- Stillwater
- State
- Oklahoma
- ZIP Code
- 74074-5425
- Phone
- (405) 650-2110
Authorized Official
- Name
- STEPHEN CHAD BAYER, PHARMD
- Title
- OWNER
- Phone
- (405) 650-2110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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