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NORTHEASTERN STATE UNIVERSITY

Orthopaedic Surgery Physician

NPI: 1194198192Organization

Specialties, Licenses & Credentials

Orthopaedic Surgery — Sports Medicine

Code: 207XX0005X

Orthopaedic Surgery

Code: 207X00000X

Contact & Hours

Address
603 N GRAND AVE
TAHLEQUAH, OK 74464

Quick Facts

NPI
1194198192
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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