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NPI Code Detail

MEDICARE: DR. GREGORY J ZEIDERS DO

MEDICARE:  DR. GREGORY J ZEIDERS  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician4343OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00272892OTHEROKRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801868211
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY J ZEIDERS DO
Provider Business Mailing Address
First Line : PO BOX 2342
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73101-2342
Country : US
Telephone Number : 405-753-1100
Fax Number : 405-753-5370
Provider Business Practice Location Address
First Line : 3414 NW 135TH ST STE A
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-4009
Country : US
Telephone Number : 405-753-1100
Fax Number : 405-509-7537
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 04/11/2021

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Directions to “ DR. GREGORY J ZEIDERS DO” Practice Location

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