Oklahoma Sports and Orthopedics Institute Pllc

NPI #1033461975 in Shawnee, Oklahoma

Provider Information

NPI Number
1033461975
Entity Type
Organization
Organization Name
Oklahoma Sports and Orthopedics Institute Pllc
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Oct 2, 2012
Last Updated
Oct 2, 2012

Practice Location

Address
3200 MEDICAL PARK DR
ZIP Code
74804-5014
Phone
(405) 360-6764

Authorized Official

Name
BRANDON PENICK
Title
DIRECTOR OF OPERATIONS
Phone
(405) 360-6764

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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