# PEDIATRIC SURGERY, INC.

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

## Provider details

- **NPI number:** 1790700649
- **Authorized official:** DR. RICHARD D RANNE M.D. (PRESIDENT)
- **Authorized official phone:** (918) 494-9494

## Contact information

- **Practice address:** 6151 S YALE AVE, SUITE 305, TULSA, OK 74136-1907
- **Practice address phone:** (918) 494-9494
- **Practice address fax:** (918) 494-9459
- **Mailing address:** 6151 S YALE AVE, SUITE 305, TULSA, OK 74136-1907
- **Mailing address phone:** (918) 494-9494
- **Mailing address fax:** (918) 494-9459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 08/22/2020