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Organization
OKLAHOMA COMMONS SURGERY CENTER, LLC
Active
Organization
OKLAHOMA COMMONS SURGERY CENTER, LLC
Active
Other names
Oklahoma Commons Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAY E WELLS (DEVELOPMENT COORDINATOR)
(405) 623-7743
Entity
Organization
Contact information
Practice address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 218-2041
(405) 509-7079
Mailing address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 218-2041
(405) 509-7079
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/13/2019
Last updated
01/10/2022
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