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Organization
OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.
Active
Organization
OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.
Active
Other names
Oklahoma Kidney Stone Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART C BURCHETT (EXECUTIVE DIR)
(405) 604-4183
Entity
Organization
Contact information
Practice address
5401 N PORTLAND AVE STE 650, OKLAHOMA CITY, OK 73112-2081
(405) 604-4160
(405) 604-4053
Mailing address
5401 N PORTLAND AVE STE 640, OKLAHOMA CITY, OK 73112-2130
(405) 604-4160
(405) 604-4053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0086
OK
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
Other
Enumeration date
05/16/2007
Last updated
07/21/2022
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