Provider First Line Business Practice Location Address:
940 N.E. 13TH STREET, SUITE 2009/MRI 2000
Provider Second Line Business Practice Location Address:
OUHSC DEPT OF PEDIATRIC ORTHOPEDICS
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-271-6458
Provider Business Practice Location Address Fax Number:
405-271-1502
Provider Enumeration Date:
06/07/2007