Organization
ROCKY MOUNTAIN ORTHOPAEDIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY WHITTINGTON OGG (SECRETARY)
(918) 786-9070
Entity
Organization
Contact information
Practice address
2642 SHASTEN ST, GROVE, OK 74344-4904
(918) 786-9070
(918) 786-9188
Mailing address
2642 SHASTEN ST, GROVE, OK 74344-4904
(918) 786-9070
(918) 786-9188
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
40378
CO
Other
Enumeration date
12/13/2006
Last updated
09/26/2007
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