Organization
EASTERN OKLAHOMA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E HEINBERG MD (PRESIDENT)
(918) 492-1539
Entity
Organization
Contact information
Practice address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-1539
(918) 523-4751
Mailing address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-1539
(918) 523-4751
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0035
OK
Other
Enumeration date
08/23/2005
Last updated
08/22/2020
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