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Surgical Specialists Of Oklahoma, PLLC

Durable Medical Equipment & Medical Supplies in Oklahoma City, OK. Organization (NPI-2).

NPI number1790932002
StatusActive
Last updated in NPPESDec 3, 2009

Details

NPI
1790932002
Entity type
Organization (NPI-2)
Legal business name
Surgical Specialists Of Oklahoma, PLLC
Organization subpart
Yes
Enumeration date
Aug 19, 2008
Last updated
Dec 3, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

3705 Nw 63rd
Ste. 212
Oklahoma City, OK 73116-0000

Phone 405-608-4300 · Fax 405-608-4302

Mailing address

Po Box 7570
Edmond, OK 73083-7570

Phone 405-842-4850 · Fax 405-242-2180

Authorized official

Angela Cosby
Ceo
4058424850

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