Individual
JEFFREY SCHIMANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6112 N VILLA AVE, OKLAHOMA CITY, OK 73112-7159
(405) 999-9999
Mailing address
6112 N VILLA AVE, OKLAHOMA CITY, OK 73112-7159
(405) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
19233
OK
Other
Enumeration date
02/03/2014
Last updated
08/18/2022
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