Organization
OKLAHOMA SPORTS & SPINE MEDICINE,PLLC
Active
Organization
OKLAHOMA SPORTS & SPINE MEDICINE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA FRALEY M.D. (PHYSICIAN/OWNER)
(405) 513-3354
Entity
Organization
Contact information
Practice address
121 NE 50TH ST, OKLAHOMA CITY, OK 73105-1809
(405) 513-3354
Mailing address
PO BOX 54589, OKLAHOMA CITY, OK 73154-1589
(405) 513-3354
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26519
OK
Other
Enumeration date
10/31/2015
Last updated
10/31/2015
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