Oklahoma Sports and Orthopedics Institute Pllc

NPI #1710239645 in Moore, Oklahoma

Provider Information

NPI Number: 1710239645
Entity Type: Organization
Organization Name: Oklahoma Sports and Orthopedics Institute Pllc
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 2, 2012
Last Updated: Oct 2, 2012

Practice Location

Address: 520 S TELEPHONE RD
Address 2: STE 207
City: Moore
State: Oklahoma
ZIP Code: 73160-5423
Phone: (405) 360-6764

Authorized Official

Name: BRANDON PENICK
Title: DIRECTOR OF OPERATIONS
Phone: (405) 360-6764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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