Spine Transformation LLC

NPI #1215192265 in Ardmore, Oklahoma

Provider Information

NPI Number: 1215192265
Entity Type: Organization
Organization Name: Spine Transformation LLC
Primary Specialty: Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Enumeration Date: Jul 18, 2008
Last Updated: Nov 10, 2010

Practice Location

Address: 915 10TH AVE NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-4025
Phone: (580) 223-7200

Authorized Official

Name: DERECK AARON PEERY, DO
Title: PRESIDENT/OWNER
Phone: (580) 223-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X	Primary

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