Organization · Type 2 NPI

D E Wadsworth JR Od LLC

Primary Care Clinic/Center · Stillwater, OK

NPI number 1801485578 Active

Practice location

1936 N Perkins Rd
Stillwater, OK 74075-2978

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1801485578

D E Wadsworth JR Od LLC's National Provider Identifier is 1801485578, issued on Jan 15, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Stillwater, OK. The record was last updated on Mar 17, 2021.