Organization
ORTHOPAEDIC & SPORTS SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY ANN JOHNS (OFFICE MANAGER)
(405) 749-7031
Entity
Organization
Contact information
Practice address
4140 W MEMORIAL RD, PLAZA 308, OKLAHOMA CITY, OK 73120-8366
(405) 749-7031
(405) 749-7036
Mailing address
4140 W MEMORIAL RD, PLAZA 308, OKLAHOMA CITY, OK 73120-8366
(405) 749-7031
(405) 749-7036
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13864
OK
207X00000X
Orthopaedic Surgery Physician
H1505
TX
207X00000X
Orthopaedic Surgery Physician
R4C36
MO
Other
Enumeration date
09/01/2005
Last updated
05/21/2009
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