Organization
CERBERUS SURGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES NEFF (DIRECTOR)
(817) 485-5100
Entity
Organization
Contact information
Practice address
1809 E 13TH ST, SUITE 200, TULSA, OK 74104-4419
(817) 485-5100
(817) 485-5101
Mailing address
PO BOX 108819, OKLAHOMA CITY, OK 73101-8819
(817) 485-5100
(817) 485-5101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
200300503
NC
208600000X
Surgery Physician
Primary
23844
OK
208600000X
Surgery Physician
K9947
TX
Other
Enumeration date
02/04/2014
Last updated
11/18/2016
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