institution
D E Wadsworth Jr Od Llc
Primary Care Clinic/Center in Stillwater, Oklahoma
NPI 1801485578

D E Wadsworth Jr Od Llc is a Primary Care Clinic/Center based in Stillwater, OK and is specialized in Primary Care. D E Wadsworth Jr Od Llc practices in Stillwater, OK. The NPI Number for D E Wadsworth Jr Od Llc is 1801485578 and holds a License No. (Oklahoma).

The current practice location address for D E Wadsworth Jr Od Llc is 1936 N Perkins Rd, Stillwater, OK and can be reached out via phone at 405-543-1846. You can also correspond with D E Wadsworth Jr Od Llc through the mailing address at 1936 N PERKINS RD, STILLWATER, OK - 74075-2978 (mailing address contact number: 405-543-1846).

Location: 1936 N Perkins Rd, Stillwater, OK, 74075-2978
institution
Provider Profile Details
NPI Number
1801485578
Provider Name
D E Wadsworth Jr Od Llc
Credential
Provider Entity Type
Organization
Address
1936 N Perkins Rd, Stillwater, OK, 74075-2978
Phone Number
405-543-1846
Fax Number
Provider Enumeration Date
01/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100765550B 05 OK
institution
Provider Business Practice Location Address Details
Address
1936 N Perkins Rd
City
State
Zip
74075-2978
Phone Number
405-543-1846
Fax Number
person
Provider Business Mailing Address Details
Address
1936 N Perkins Rd
City
State
Zip
74075-2978
Phone Number
405-543-1846
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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