Organization
SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC
Active
Parent organization
SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST ORTHOPAEDIC SPECIALISTS, PLLC
Authorized official
JAMES DAVID MOORE (ADMINISTRATOR)
(405) 632-4468
Entity
Organization
Contact information
Practice address
2403 W WRANGLER BLVD, STE A, SEMINOLE, OK 74868-1900
(405) 382-4939
(405) 631-4964
Mailing address
8100 S. WALKER AVENUE, BUILDING A, OKLAHOMA CITY, OK 73139-9404
(405) 632-4468
(405) 631-4964
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
09/21/2020
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