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Individual

DR. GREGORY J ZEIDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3414 NW 135TH ST STE A, OKLAHOMA CITY, OK 73120-4009
(405) 753-1100
(405) 509-7537
Mailing address
PO BOX 2342, OKLAHOMA CITY, OK 73101-2342
(405) 753-1100
(405) 753-5370

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4343
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200059990A
OK
01
P00272892
RAILROAD MEDICARE
OK
Enumeration date
02/02/2006
Last updated
04/11/2021
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