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Spine Transformation Llc
Orthopedic Surgery of the Spine Physician in Ardmore, Oklahoma
NPI 1215192265

Spine Transformation Llc is a Orthopedic Surgery of the Spine Physician based in Ardmore, OK and is specialized in Orthopedic Surgery of the Spine. Spine Transformation Llc practices in Ardmore, OK. The NPI Number for Spine Transformation Llc is 1215192265 and holds a License No. 4546 (Oklahoma).

The current practice location address for Spine Transformation Llc is 915 10Th Ave Nw, Ardmore, OK and can be reached out via phone at 580-223-7200 and via fax at 580-223-7207.

Location: 915 10Th Ave Nw, Ardmore, OK, 73401-4025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215192265
Provider Name
Spine Transformation Llc
Credential
Provider Entity Type
Organization
Address
915 10Th Ave Nw, Ardmore, OK, 73401-4025
Phone Number
580-223-7200
Fax Number
580-223-7207
Provider Enumeration Date
07/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200204540A 05 OK
institution
Provider Business Practice Location Address Details
Address
915 10Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-4025
Phone Number
580-223-7200
Fax Number
580-223-7207
person
Provider Business Mailing Address Details
Address
915 10Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-4025
Phone Number
580-223-7200
Fax Number
580-223-7207
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
4546 (Oklahoma)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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Orthopedic Surgery of the Spine Physician
915 10Th Ave Nw,
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580-223-7200
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