Organization
SPINE TRANSFORMATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERECK AARON PEERY DO (PRESIDENT/OWNER)
(580) 223-7200
Entity
Organization
Contact information
Practice address
915 10TH AVE NW, ARDMORE, OK 73401-4025
(580) 223-7200
(580) 223-7207
Mailing address
915 10TH AVE NW, ARDMORE, OK 73401-4025
(580) 223-7200
(580) 223-7207
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
4546
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200204540A
—
OK
Enumeration date
07/18/2008
Last updated
11/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us