Organization
ORTHOCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BIRKS CO L (PRESIDENT)
(405) 703-1472
Entity
Organization
Contact information
Practice address
2305 S. I-35 SERVICE ROAD, MOORE, OK 73160-2775
(405) 703-1472
(405) 703-1653
Mailing address
2305 S. I-35 SERVICE ROAD, MOORE, OK 73160-2775
(405) 703-1472
(405) 703-1653
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
26
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200047670A
—
OK
Enumeration date
05/10/2006
Last updated
09/14/2016
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