Organization
ORTHOPAEDIC AND SPORTS MEDICINE CENTER-NORMAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY WAINNER (CREDENTIALING)
(405) 310-6881
Entity
Organization
Contact information
Practice address
825 E ROBINSON ST, NORMAN, OK 73071-6610
(405) 364-7900
(405) 364-6719
Mailing address
825 E ROBINSON ST, NORMAN, OK 73071-6610
(405) 364-7900
(405) 364-6719
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731030A
—
OK
Enumeration date
08/03/2006
Last updated
04/11/2023
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