Provider Demographics
NPI:1619012713
Name:ORTHOPEDIC HOPSITAL OF OKLAHOMA
Entity type:Organization
Organization Name:ORTHOPEDIC HOPSITAL OF OKLAHOMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BULL
Authorized Official - Suffix:
Authorized Official - Credentials:DPH
Authorized Official - Phone:918-477-5025
Mailing Address - Street 1:2408 E 81ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137-4200
Mailing Address - Country:US
Mailing Address - Phone:918-477-5025
Mailing Address - Fax:918-477-5971
Practice Address - Street 1:2408 E 81ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-4200
Practice Address - Country:US
Practice Address - Phone:918-477-5025
Practice Address - Fax:918-477-5971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2350284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital