| NPI | 1730435413 |
|---|---|
| Doing Business As | SOUTHEASTERN OKLAHOMA ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GINGRAS Credentialing Manager 239-598-3131 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-11-27 |