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Organization
MERCY HEALTH CANADIAN COUNTY AMBULATORY SURGICAL CENTER LLC
Active
Organization
MERCY HEALTH CANADIAN COUNTY AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA L. SMALLEY (PRESIDENT & CEO)
(405) 752-3756
Entity
Organization
Contact information
Practice address
520 S MUSTANG RD, SUITE S, YUKON, OK 73099-6737
(405) 936-5900
(405) 577-2032
Mailing address
4401 W MEMORIAL RD, SUITE #141; ATTN: BECKY, OKLAHOMA CITY, OK 73134-1785
(405) 936-5811
(405) 936-5810
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0060
OK
Other
Enumeration date
07/17/2006
Last updated
07/16/2007
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