Healthcare Provider Details

I. General information

NPI: 1598960908
Provider Name (Legal Business Name): TULSA ORTHOPEDIC TRAUMA SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2007
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6475 S YALE AVE STE 301
TULSA OK
74136-7816
US

IV. Provider business mailing address

6475 S YALE AVE STE 301
TULSA OK
74136-7816
US

V. Phone/Fax

Practice location:
  • Phone: 918-494-9300
  • Fax: 918-494-9324
Mailing address:
  • Phone: 918-494-9300
  • Fax: 918-494-9324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number StateOK

VIII. Authorized Official

Name: DR. TODD ALLEN SWENNING
Title or Position: OWNER
Credential: M.D.
Phone: 918-494-9300