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Organization
TRIAD SURGERY CENTER LLC
Active
Organization
TRIAD SURGERY CENTER LLC
Active
Other names
Triad Eye Institute, Triad Eye Medical Clinic And Cataract Institute PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PATRICK CONLEY (OWNER/MANAGER)
(918) 687-6600
Entity
Organization
Contact information
Practice address
3131 MILITARY BLVD, MUSKOGEE, OK 74401-2290
(918) 687-6600
(918) 687-6610
Mailing address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(918) 252-2020
(918) 307-1983
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0061
OK
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
Other
Enumeration date
06/28/2005
Last updated
06/26/2019
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