| Woodson Family Medical Clinic | |
|
907 Nw 5th St Stigler OK 74462-1611 | |
| (918) 967-3355 | |
| (918) 967-8863 |
| Full Name | Woodson Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 907 Nw 5th St, Stigler, Oklahoma |
| Authorized Official Name and Position | Stephen W Woodson (OWNER) |
| Authorized Official Contact | 9189673355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodson Family Medical Clinic Po Box 480 Stigler OK 74462-0480 Ph: (918) 967-3355 | Woodson Family Medical Clinic 907 Nw 5th St Stigler OK 74462-1611 Ph: (918) 967-3355 |
| NPI Number | 1912090762 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 02/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912090762 | NPI | - | NPPES |
| 080020414 | Other | RR MEDICARE | |
| 100089460A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2123 (Oklahoma) | Primary |
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