Wagoner Orthopedic Center

NPI #1205007531 in Wagoner, Oklahoma

Provider Information

NPI Number
1205007531
Entity Type
Organization
Organization Name
Wagoner Orthopedic Center
Subpart
Yes (part of a larger organization)
Parent Organization
WAGONER HOSPITAL AUTHORITY
Primary Specialty
General Acute Care Hospital
Enumeration Date
Mar 14, 2008
Last Updated
Mar 9, 2018

Practice Location

Address
1202 W CHEROKEE ST STE B
ZIP Code
74467-4629
Phone
(918) 485-5514

Authorized Official

Name
JIMMY LEOPARD
Title
CHIEF EXECUTIVE OFFICER
Phone
(918) 485-5514

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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