Spine Transformation Llc

Spine Orthopedic Clinic


  
915 10th Ave Nw, Ardmore
Oklahoma, 73401-4025

 580-223-7200     580-223-7207Maps & Directions
Spine Transformation Llc is a Spine Orthopedic Clinic in Ardmore, Oklahoma. It is situated at 915 10th Ave Nw, Ardmore and its contact number is 580-223-7200. The authorized person of Spine Transformation Llc is Dereck Aaron Peery who is President/owner of the clinic and their contact number is 580-223-7200. Primary license number for Spine Transformation Llc is 4546 (Orthopaedic Surgery (Orthopaedic Surgery of the Spine)) in Oklahoma.
Complete Clinic Profile:
Spine Transformation Llc Clinic speciality, address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization: Orthopaedic Surgery of the Spine
Clinic Address:915 10th Ave Nw, Ardmore,
Oklahoma, 73401-4025
Phone:580-223-7200
Fax:580-223-7207
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Dereck Aaron Peery
Position: President/owner
Contact Number: 580-223-7200
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Spine Transformation Llc Clinic are as mentioned below.
NPI Number: 1215192265
NPI Enumeration Date: 18 Jul, 2008
NPI Last Update On: 10 Nov, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Spine Transformation Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Orthopaedic Surgery (Orthopaedic Surgery of the Spine) 4546OklahomaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
200204540AMedicaidOklahoma
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Spine Transformation Llc
915 10th Ave Nw,
Ardmore, Oklahoma
Zip: 73401-4025
Phone Number: 580-223-7200
Fax Number: 580-223-7207
Patients can reach Spine Transformation Llc at 915 10th Ave Nw, Ardmore, Oklahoma or can call to book an appointment on 580-223-7200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

Comments/ Reviews:


Spine Orthopedic: An orthopaedic surgeon who deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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