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Organization

OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC

Active
Parent organization
OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC
Authorized official
MR. BRANDON L PENICK (DIRECTOR OF OPERATIONS)
(405) 928-7992
Entity
Organization

Contact information

Practice address
13500 S TULSA DR, SUITE 301, OKLAHOMA CITY, OK 73170-9704
(405) 793-2901
(405) 360-6769
Mailing address
3400 W TECUMSEH RD, SUITE 101, NORMAN, OK 73072-1810
(405) 360-6764
(405) 360-6769

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
01/22/2013
Last updated
01/22/2013
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