Organization · NPI-2

Orthopedic Center Of Muskogee

Orthopaedic Surgery, Sports Medicine · Muskogee, OK

NPI number1316010150
StatusActive
Last updated in NPPESApr 16, 2008

Details

NPI
1316010150
Entity type
Organization (NPI-2)
Legal business name
Orthopedic Center Of Muskogee
Organization subpart
No
Enumeration date
Nov 17, 2006
Last updated
Apr 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports Medicine––Yes

Practice location

3900 West Broadway
Muskogee, OK 74401

Phone 918-686-6600 · Fax 918-686-6601

Mailing address

3900 West Broadway
Muskogee, OK 74401

Phone 918-686-6600 · Fax 918-686-6601

Authorized official

Clint Forest Kirk
Doctor
9186866600

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