Organization
UPPER EXTREMITY ORTHOPEDIC SPECIALISTS PLLC
Active
Organization
UPPER EXTREMITY ORTHOPEDIC SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT C NOSSAMAN DO (OWNER)
(918) 633-9439
Entity
Organization
Contact information
Practice address
2448 E 81ST ST STE 1300, TULSA, OK 74137-4305
(918) 550-8950
(918) 550-8952
Mailing address
2448 E 81ST ST STE 1300, TULSA, OK 74137-4305
(918) 550-8950
(918) 550-8952
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
12/08/2020
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