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
207Q00000X
Family Medicine Physician
2369
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
2369
OK
207RR0500X
Rheumatology Physician
2369
OK
207X00000X
Orthopaedic Surgery Physician
Primary
2369
OK
207XS0106X
Orthopaedic Hand Surgery Physician
2369
OK
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
2369
OK
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
2369
OK
208100000X
Physical Medicine & Rehabilitation Physician
2369
OK
213E00000X
Podiatrist
2369
OK
363A00000X
Physician Assistant
2369
OK
Other
Enumeration date
02/13/2007
Last updated
04/12/2024
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