Organization · Type 2 NPI

Northeastern State University

Orthopaedic Surgery Physician · Tahlequah, OK

NPI number 1194198192 Active

Practice location

603 N Grand Ave
Tahlequah, OK 74464-2302

Fax (972) 367-3451

Mailing address

PO Box 650850, Dept 1011
Dallas, TX 75265-0850

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1194198192

Northeastern State University's National Provider Identifier is 1194198192, issued on Nov 12, 2015. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Tahlequah, OK. The record was last updated on Nov 12, 2015.