Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHEASTERN OKLAHOMA SPORTS MEDICINE, PLLC
Active OrganizationSOUTHEASTERN OKLAHOMA SPORTS MEDICINE, PLLC is a Sports Medicine (PM&R) organization located in DURANT, Oklahoma. NPI 1124345665 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · DURANT, OK
Registration Details
- NPI Number
- 1124345665
- Provider Type
- Organization
- NPI Issued
- Apr 23, 2010 (16.350902192331 yrs)
- Last Updated
- Apr 23, 2010
- License
-
24887 (OK)
Practice Information
- Address
-
1705 N WASHINGTON AVESUITE CDURANT, OK, 747012100Browse OK providers · Browse ZIP 74701
- Phone
- 5809241414
- Fax
- 5809310300
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.