Eastern Oklahoma Oral Maxillofacial Surgeons
NPI #1629151188 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1629151188
- Entity Type
- Organization
- Organization Name
- Eastern Oklahoma Oral Maxillofacial Surgeons
- Primary Specialty
- Oral & Maxillofacial Surgery
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Jul 23, 2018
Practice Location
- Address
- 2950 S ELM PLACE, SUITE 340
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012
- Phone
- (918) 451-0944
Authorized Official
- Name
- MR. VIC HILL TRAMMELL
- Title
- OWNER / SURGEON
- Phone
- (918) 451-0944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Oral & Maxillofacial Surgery |
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