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Individual

DR. SCOTT J DUNITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4802 S 109TH E AVE, TULSA, OK 74146
(918) 392-1400
(918) 392-1488
Mailing address
4802 S 109TH E AVE, TULSA, OK 74146
(918) 392-1400
(918) 392-1488

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
16459
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100122940A
OK
01
200036116
RAILROAD MEDICARE
OK
Enumeration date
03/07/2006
Last updated
07/31/2025
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