Tahlequah Orthopedic Surgery Services, LLC

NPI #1780808980 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1780808980
Entity Type: Organization
Organization Name: Tahlequah Orthopedic Surgery Services, LLC
Primary Specialty: Specialist
Enumeration Date: Apr 12, 2007
Last Updated: Aug 30, 2012

Practice Location

Address: 1373 E. BOONE ST.
Address 2: SUITE 3401
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-3379
Phone: (918) 456-6848

Authorized Official

Name: DR. CHRISTOPHER SARRETT DELOACHE, D.O.
Title: OWNER
Phone: (918) 456-6848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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