Southwestern Oklahoma State University

NPI #1235631128 in Weatherford, Oklahoma

Provider Information

NPI Number: 1235631128
Entity Type: Organization
Organization Name: Southwestern Oklahoma State University
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 6, 2018
Last Updated: Mar 6, 2018

Practice Location

Address: 100 CAMPUS DR
City: Weatherford
State: Oklahoma
ZIP Code: 73096-3001
Phone: (972) 367-4845

Authorized Official

Name: MOUZON BASS III
Title: ADMINISTRATOR
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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