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NPI Code Detail

MEDICARE: SCOTT M DE LA GARZA MD

MEDICARE:   SCOTT M DE LA GARZA  MD
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
1207XS0117XOrthopaedic Surgery of the Spine Physician21981OK
2207X00000XOrthopaedic Surgery Physician21981OK

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 : 1972565778
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT M DE LA GARZA MD
Provider Business Mailing Address
First Line : 1110 N LEE AVE STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-2612
Country : US
Telephone Number : 405-218-2530
Fax Number : 405-218-2535
Provider Business Practice Location Address
First Line : 1110 N LEE AVE STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-2612
Country : US
Telephone Number : 405-218-2530
Fax Number : 405-218-2535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 06/16/2023

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Directions to “ SCOTT M DE LA GARZA MD” Practice Location

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