Organization
SURGICAL SPECIALISTS OF OKLAHOMA, PLLC
Active
Parent organization
SURGICAL SPECIALISTS OF OKLAHOMA, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGICAL SPECIALISTS OF OKLAHOMA, PLLC
Authorized official
MRS. ANGELA COSBY (CEO)
(405) 842-4850
Entity
Organization
Contact information
Practice address
3705 NW 63RD ST, STE. 204, OKLAHOMA CITY, OK 73116-1935
(405) 942-7841
(405) 608-4239
Mailing address
PO BOX 7570, EDMOND, OK 73083-7570
(405) 842-4850
(405) 242-2180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043286776
NPI
OK
01
—
1275508186
NPI
OK
Enumeration date
08/19/2008
Last updated
12/03/2009
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