Southeastern Oklahoma Sports Medicine, Pllc

NPI #1124345665 in Durant, Oklahoma

Provider Information

NPI Number: 1124345665
Entity Type: Organization
Organization Name: Southeastern Oklahoma Sports Medicine, Pllc
Primary Specialty: Physical Medicine & Rehabilitation - Sports Medicine
Enumeration Date: Apr 23, 2010
Last Updated: Apr 23, 2010

Practice Location

Address: 1705 N WASHINGTON AVE
Address 2: SUITE C
City: Durant
State: Oklahoma
ZIP Code: 74701-2100
Phone: (580) 924-1414

Authorized Official

Name: BRIAN K RICH, M.D.
Title: PRESIDENT
Phone: (580) 924-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine	2081S0010X	Primary

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