Organization
CENTRAL STATES ORTHOPEDIC SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LONG CEO (CEO)
(918) 481-2767
Entity
Organization
Contact information
Practice address
6585 S YALE AVE, 200, TULSA, OK 74136-8384
(918) 481-2767
Mailing address
6585 S YALE AVE, 200, TULSA, OK 74136-8384
(918) 481-2767
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
3996
OK
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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