Organization
EASTERN OKLAHOMA ORTHOPEDIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF SMITH (ADMINISTRATOR)
(918) 494-9313
Entity
Organization
Contact information
Practice address
6475 S YALE AVE, STE. 301, TULSA, OK 74136-7815
(918) 494-9300
(918) 494-9355
Mailing address
6475 S YALE AVE, STE. 301, TULSA, OK 74136-7815
(918) 494-9300
(918) 494-9355
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/28/2005
Last updated
04/01/2009
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