Organization
OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M DREESEN (MGD CARE & CRED COOR)
(918) 499-2141
Entity
Organization
Contact information
Practice address
1819 E 19TH ST FL 5, TULSA, OK 74104-5407
(918) 505-3200
(918) 505-3225
Mailing address
12697 E 51ST ST, TULSA, OK 74146-6236
(918) 499-2141
(918) 499-2141
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200627090A
—
OK
Enumeration date
07/06/2021
Last updated
07/06/2021
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