Spine Transformation LLC
Spine Transformation LLC is an Orthopaedic Surgery of the Spine Physician in Ardmore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.
- Licensed in
- OK
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
915 10th Ave NWArdmore, OK 73401-4025
Phone: (580) 223-7200
Fax: (580) 223-7207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery of the Spine Physician (primary) | Taxonomy 207XS0117X · Licence 4546 (OK) |
|---|
Record details
| NPI number | 1215192265 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dereck Peery — President/Owner · (580) 223-7200 |
| NPI enumerated | July 18, 2008 |
| Last updated in NPPES | November 10, 2010 |
| Mailing address | 915 10th Ave Nw, Ardmore, OK 73401-4025 |
Other providers in Ardmore
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Dr. Dereck A. Peery, DO
915 10th Ave NW, Ardmore, OK 73401-4025 · (580) 223-7200