Organization
OKLAHOMA CENTER FOR ORTHOPAEDIC EXCELLENCE & SPORTS MEDICINE, LLC
Active
Organization
OKLAHOMA CENTER FOR ORTHOPAEDIC EXCELLENCE & SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SEAN OBRIEN DO (PRESIDENT)
(405) 759-2663
Entity
Organization
Contact information
Practice address
3110 SW 89TH ST, SUITE 200C, OKLAHOMA CITY, OK 73159-7919
(405) 759-2663
(405) 759-3827
Mailing address
PO BOX 890358, OKLAHOMA CITY, OK 73189-0358
(405) 759-2663
(405) 759-3827
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
3481
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200064010A
—
OK
Enumeration date
02/14/2006
Last updated
11/17/2011
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