Individual
DR. SCOTT P. REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10512 N 110TH EAST AVE STE 220, OWASSO, OK 74055-6638
(918) 376-8830
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 579-3825
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
5431
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2010
Last updated
07/01/2021
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