Organization
PHYSICIANS SURGICAL CENTER LLC
Active
Other names
Physicians Surgical Center, an affiliate of HEALTHSOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA WALLACE (OFFICE MANAGER)
(405) 364-9789
Entity
Organization
Contact information
Practice address
3121 S TELEPHONE RD, MOORE, OK 73160-2944
(405) 364-9789
(405) 447-4985
Mailing address
3121 S TELEPHONE RD, MOORE, OK 73160-2944
(405) 364-9789
(405) 447-4985
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0022
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100743900A
—
OK
Enumeration date
04/27/2006
Last updated
09/16/2019
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