Organization
OKLAHOMA WOUND CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPERO THEODOROU M.D. (SURGICAL DIRECTOR)
(914) 237-6797
Entity
Organization
Contact information
Practice address
10912 E 14TH ST, TULSA, OK 74128-4845
(918) 438-2440
(918) 439-9594
Mailing address
976 MCLEAN AVE, YONKERS, NY 10704-4105
(914) 237-6797
(914) 237-6790
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
228653
NY
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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