Organization
ADVANCED ORTHOPEDICS OF OKLAHOMA PLLC
Active
Other names
Central States Orthopedic
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE M PRIMEAUX (CREDENTIALING COORDINATOR)
(918) 927-3226
Entity
Organization
Contact information
Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3193
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 927-3340
(918) 494-2665
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-7169
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200712390V
—
OK
01
—
2141085
PK
—
Enumeration date
06/21/2013
Last updated
07/17/2025
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