Organization
OKLAHOMA SPINE SURGERY & ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIM D NELSON (PRACTICE MANAGER)
(405) 703-4905
Entity
Organization
Contact information
Practice address
3110 SW 89TH ST, 102, OKLAHOMA CITY, OK 73159-7920
(405) 703-4905
(405) 703-4980
Mailing address
3110 SW 89TH ST, 102, OKLAHOMA CITY, OK 73159-7920
(405) 703-4905
(405) 703-4980
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
21476
OK
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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