# UROLOGIC SPECIALISTS OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669700571
- **Authorized official:** DR. KEVIN JOSEPH GANCARCZYK MD (PRESIDENT)
- **Authorized official phone:** (918) 749-8765

## Contact information

- **Practice address:** 10901 E 48TH ST, TULSA, OK 74146-5830
- **Practice address phone:** (918) 749-8765
- **Practice address fax:** (918) 392-2155
- **Mailing address:** 10901 E 48TH ST, TULSA, OK 74146-5830
- **Mailing address phone:** (918) 749-8765
- **Mailing address fax:** (918) 392-2155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 246Z00000X | Other Specialist/Technologist | 117717 | OK | — |

## Other

- **Enumeration date:** 12/04/2009
- **Last updated:** 04/05/2022