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Organization
WAGONER ORTHOPEDIC CENTER
Active
Organization
WAGONER ORTHOPEDIC CENTER
Active
Parent organization
WAGONER HOSPITAL AUTHORITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAGONER HOSPITAL AUTHORITY
Authorized official
JIMMY LEOPARD (CHIEF EXECUTIVE OFFICER)
(918) 485-5514
Entity
Organization
Contact information
Practice address
1202 W CHEROKEE ST STE B, WAGONER, OK 74467-4629
(918) 485-5514
Mailing address
1202 W CHEROKEE ST STE B, WAGONER, OK 74467-4629
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2298
OK
Other
Enumeration date
03/14/2008
Last updated
03/09/2018
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