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Tahlequah Orthopedic Surgery Services, Llc
Specialist in Tahlequah, Oklahoma
NPI 1780808980

Tahlequah Orthopedic Surgery Services, Llc is a Specialist based in Tahlequah, OK. Tahlequah Orthopedic Surgery Services, Llc practices in Tahlequah, OK. The NPI Number for Tahlequah Orthopedic Surgery Services, Llc is 1780808980 and holds a License No. 207X00000X (Oklahoma).

The current practice location address for Tahlequah Orthopedic Surgery Services, Llc is 1373 E. Boone St., Tahlequah, OK and can be reached out via phone at 918-456-6848 and via fax at 918-456-1150.

Location: 1373 E. Boone St., Tahlequah, OK, 74464-3379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780808980
Provider Name
Tahlequah Orthopedic Surgery Services, Llc
Credential
Provider Entity Type
Organization
Address
1373 E. Boone St., Tahlequah, OK, 74464-3379
Phone Number
918-456-6848
Fax Number
918-456-1150
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200076030A 05 OK
448746259004 01 OK BLUE CROSS AND BLUE SHIEL
institution
Provider Business Practice Location Address Details
Address
1373 E. Boone St.
City
Tahlequah
State
Oklahoma
Zip
74464-3379
Phone Number
918-456-6848
Fax Number
918-456-1150
person
Provider Business Mailing Address Details
Address
1373 E. Boone St.
City
Tahlequah
State
Oklahoma
Zip
74464-3379
Phone Number
918-456-6848
Fax Number
918-456-1150
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
207X00000X (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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