Organization
OKLAHOMA ORTHOPEDIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM WALLACE EWING DO (PRESIDENT)
(405) 447-4999
Entity
Organization
Contact information
Practice address
1020 24TH AVE NW, SUITE 100, NORMAN, OK 73069-6341
(405) 447-4999
(405) 447-5608
Mailing address
1020 24TH AVE NW, SUITE 100, NORMAN, OK 73069-6341
(405) 447-4999
(405) 447-5608
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2243
OK
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
20902
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744280A
—
OK
Enumeration date
10/05/2006
Last updated
06/24/2008
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