Northeastern State University
Northeastern State University is an Orthopaedic Surgery Physician in Tahlequah, Oklahoma. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
603 N Grand AveTahlequah, OK 74464-2302
Phone: (918) 444-3921
Fax: (972) 367-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X |
|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X |
Record details
| NPI number | 1194198192 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Agent · (972) 367-4845 |
| Other names | Northeastern State University Sports Medicine |
| NPI enumerated | November 12, 2015 |
| Last updated in NPPES | November 12, 2015 |
| Mailing address | Po Box 650850, Dept 1011, Dallas, TX 75265-0850 |
Other providers in Tahlequah
-
Paul G Bizzle, DO
327 Hickory Dr, Tahlequah, OK 74464-5115 · (918) 453-0023
-
Christopher S Deloache, DO
1373 E Boone St Ste 3401, Tahlequah, OK 74464-3234 · (918) 456-6848
-
Carl Joseph Depaula, MD
100 S Bliss Ave, Tahlequah, OK 74464-2512 · (918) 458-3360
-
Southern Plains Orthopaedic and Sports Medicine Institute
1504 E Shawnee Cir, Tahlequah, OK 74464 · (918) 453-0023