Northeast Oklahoma Spine and Sports LLC

NPI #1942703665 in Tulsa, Oklahoma

Provider Information

NPI Number: 1942703665
Entity Type: Organization
Organization Name: Northeast Oklahoma Spine and Sports LLC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 9, 2018
Last Updated: Mar 9, 2018

Practice Location

Address: 6048A S SHERIDAN RD
City: Tulsa
State: Oklahoma
ZIP Code: 74145-9212
Phone: (918) 518-5013

Authorized Official

Name: DR. MARK BILLY WILLITS, MD
Title: OWNER
Phone: (918) 518-5013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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