Organization
MCBRIDE CLINIC ORTHOPEDIC HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GALLIART (CEO)
(405) 486-2100
Entity
Organization
Contact information
Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2100
(405) 486-2504
Mailing address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(405) 486-2100
(405) 486-2504
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
2369
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069370C
—
OK
Enumeration date
01/23/2007
Last updated
12/27/2010
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