Organization
EASTERN OKLAHOMA ORAL MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIC HILL TRAMMELL (OWNER / SURGEON)
(918) 451-0944
Entity
Organization
Contact information
Practice address
2950 S ELM PLACE, SUITE 340, BROKEN ARROW, OK 74012
(918) 451-0944
Mailing address
4716 W URBANA ST, BROKEN ARROW, OK 74012-5997
(918) 449-5800
(918) 455-8958
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/23/2018
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