Organization
NORTHWEST OKLAHOMA ORTHOPAEDIC CLINIC INC
Active
Other names
Northwest Oklahoma Orthopaedic Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EDWARD KELLER (PRESIDENT)
(580) 233-6707
Entity
Organization
Contact information
Practice address
900 W CHEROKEE AVE, ENID, OK 73701-5410
(580) 233-6707
(580) 233-3724
Mailing address
PO BOX 1484, ENID, OK 73702-1484
(580) 233-6707
(580) 233-3724
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730140C
—
OK
05
—
100730140D
—
OK
Enumeration date
05/17/2007
Last updated
08/13/2025
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