Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 16459 | OK |
NPI | 1316914542 |
---|---|
Provider Name | Dr. Scott J Dunitz |
First Address | Tulsa, OK 74146 |
Second Address | Tulsa, OK 74146 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 08/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100122940A | (05) | OK |
200036116 | RAILROAD MEDICARE (01) | OK |
C94884 | (02) |