| Stillwater Medical Center Authority | |
|
105 E Grand Ave Tonkawa OK 74653-3503 | |
| (580) 308-3080 | |
| (833) 973-4377 |
| Full Name | Stillwater Medical Center Authority |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 E Grand Ave, Tonkawa, Oklahoma |
| Authorized Official Name and Position | Robert Alan Lovelace (CFO) |
| Authorized Official Contact | 4057425729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Medical Center Authority Po Box 802738 Kansas City MO 64180-2738 Ph: (405) 742-5300 | Stillwater Medical Center Authority 105 E Grand Ave Tonkawa OK 74653-3503 Ph: (580) 308-3080 |
| NPI Number | 1871320499 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871320499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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