OrganizationActive
Scuderia Spinale, PLLC
NPI 1104441989 · Orthopaedic Surgery of the Spine Physician · Jenks, OK
Provider details
- NPI number
- 1104441989
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fernando Villamil Wiscovitch, Provider(918) 813-3901
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
505 E Main St
Jenks, OK 74037-4136
Phone: (918) 813-3901
Fax: (918) 209-4915
Approximate (ZIP-level) locationGet directions
Mailing address
10710 S Fir Pl
Jenks, OK 74037-3026
Registry dates
- Enumerated
- 2020-06-08
- Last updated
- 2021-10-22
- Certified
- 2021-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.