Organization
NORTHEAST ORHTOPAEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY J COLE D.O. (PRESIDENT)
(918) 701-2000
Entity
Organization
Contact information
Practice address
6312 E 101ST STREET, TULSA, OK 74137
(918) 701-2000
(918) 893-6202
Mailing address
6312 E 101ST STREET, TULSA, OK 74137-5726
(918) 701-2000
(918) 893-6202
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900522113
—
OK
Enumeration date
04/04/2007
Last updated
11/25/2015
Update your record
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