Organization
SOUTH OKLAHOMA ORTHOPEDICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY R. HUGHES (SECRETARY/TREASURER)
(405) 682-5351
Entity
Organization
Contact information
Practice address
2149 SW 59TH ST, 102, OKLAHOMA CITY, OK 73119-7033
(405) 682-5351
(405) 685-5563
Mailing address
2149 S.W. 59TH, 102, OKLAHOMA CITY, OK 73119
(405) 682-5351
(405) 685-5563
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1601
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100042570A
—
OK
Enumeration date
04/21/2009
Last updated
03/10/2010
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