Organization
OKLAHOMA SPORTS AND ORTHOPEDICS INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON PENICK (DIRECTOR OF OPERATIONS)
(405) 360-6764
Entity
Organization
Contact information
Practice address
608 NW 9TH ST, STE 6000, OKLAHOMA CITY, OK 73102-1068
(405) 360-6764
(405) 360-6769
Mailing address
3400 W TECUMSEH RD, STE 101, NORMAN, OK 73072-1810
(405) 360-6764
(405) 360-6769
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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