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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.

Location: 1936 N Perkins Rd, Stillwater, OK, 74075-2978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Stillwater
State
Oklahoma
Zip
74075-2978
Phone Number
405-543-1846
Fax Number
person
Provider Business Mailing Address Details
Address
1936 N Perkins Rd
City
Stillwater
State
Oklahoma
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
261QP2300X
License No.
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Definition
Definition to come...
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