OrganizationActive
Advanced Wellness Clinic, Inc
NPI 1578080883 · General Practice Physician · Sapulpa, OK
Provider details
- NPI number
- 1578080883
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Corey Stubbs, Owner
Practice location
601 S Mission St
Sapulpa, OK 74066-4657
Phone: (918) 224-5900
Fax: (918) 224-6642
Mailing address
601 S Mission St
Sapulpa, OK 74066-4657
Registry dates
- Enumerated
- 2017-08-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.