Organization
OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARON G. STREET MD (PRESIDENT)
(918) 505-3200
Entity
Organization
Contact information
Practice address
1836 E 15TH ST, TULSA, OK 74104-4611
(918) 585-5658
(918) 585-5670
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 505-3200
(918) 505-3225
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200627090
—
OK
Enumeration date
05/18/2018
Last updated
02/18/2020
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