Organization
MERCY HOSPITAL OKLAHOMA CITY OUTPATIENT SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ENLOE (CFO)
(405) 752-3161
Entity
Organization
Contact information
Practice address
3301 NW 50TH ST STE 200, OKLAHOMA CITY, OK 73112-5627
(405) 947-0911
Mailing address
PO BOX 776066, CHICAGO, IL 60677-6066
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
12/17/2018
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