Organization
SPINAL THERAPEUTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG HUEY (PRESIDENT)
(918) 743-1133
Entity
Organization
Contact information
Practice address
4415 S HARVARD AVE, STE. 204, TULSA, OK 74135-2620
(918) 743-1133
(918) 743-6993
Mailing address
4415 S HARVARD AVE, STE. 204, TULSA, OK 74135-2620
(918) 743-1133
(918) 743-6993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
444429855003
BLUE CROSS
OK
Enumeration date
07/11/2007
Last updated
07/11/2007
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