Organization
FM ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUNAWAR ALI MD (CEO)
(580) 210-0040
Entity
Organization
Contact information
Practice address
17861 PRAIRIE SKY WAY, EDMOND, OK 73012-6628
(580) 210-0040
(405) 330-9082
Mailing address
17861 PRAIRIE SKY WAY, EDMOND, OK 73012-6628
(580) 210-0040
(405) 330-9082
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200524500A
—
OK
Enumeration date
12/20/2018
Last updated
08/29/2024
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