Organization
GCSC
Active
Other names
Gonce Cosmetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE E GONCE MD (OWNER)
(405) 748-3636
Entity
Organization
Contact information
Practice address
3333 NW 63RD ST, SUITE 250, OKLAHOMA CITY, OK 73116-3710
(405) 748-3636
(405) 749-9421
Mailing address
3333 NW 63RD ST, SUITE 250, OKLAHOMA CITY, OK 73116-3710
(405) 748-3636
(405) 749-9421
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
08/22/2020
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