Organization
NORTHEAST OKLAHOMA SPINE AND SPORTS LLC
Active
Other names
NORTHEAST OKLAHOMA SPINE AND SPORTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BILLY WILLITS MD (OWNER)
(918) 518-5013
Entity
Organization
Contact information
Practice address
6048A S SHERIDAN RD, TULSA, OK 74145-9212
(918) 518-5013
(918) 417-7864
Mailing address
6048A S SHERIDAN RD, TULSA, OK 74145-9212
(918) 518-5013
(918) 417-7864
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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