Provider Demographics
NPI:1891025144
Name:REEDER, THOMAS DALE II (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:DALE
Last Name:REEDER
Suffix:II
Gender:M
Credentials:DO
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Mailing Address - Street 1:3115 SW 89TH ST
Mailing Address - Street 2:OSSO SPINE CENTER
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-7901
Mailing Address - Country:US
Mailing Address - Phone:405-608-0894
Mailing Address - Fax:405-608-0873
Practice Address - Street 1:3115 SW 89TH ST
Practice Address - Street 2:OSSO SPINE CENTER
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-7901
Practice Address - Country:US
Practice Address - Phone:405-608-0894
Practice Address - Fax:405-608-0873
Is Sole Proprietor?:No
Enumeration Date:2010-01-09
Last Update Date:2011-10-25
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Provider Licenses
StateLicense IDTaxonomies
OK4867207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery