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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

OKLAHOMA STATE UNIVERSITY

Active Organization

Preferred Provider Organization · STILLWATER, OK

Registration Details

NPI Number
1063681104
Provider Type
Organization
NPI Issued
Feb 22, 2008 (18.190700626207 yrs)
Last Updated
Feb 22, 2008
Licenses
3509 (OK)
465 (OK)
17462 (OK)

Practice Information

Address
170 ATHLETICS CENTER
STILLWATER, OK, 740780001
Browse OK providers · Browse ZIP 74078
Phone
4057445430
Fax
4057444945
Primary Specialty
Preferred Provider Organization
305R00000X
Additional Specialty
Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.