Organization
ELITE SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE JAVON DENTON CSFA (CERTIFIED SURGICAL FIRST ASSISTANT)
(918) 361-7366
Entity
Organization
Contact information
Practice address
2924 S 98TH EAST AVE, TULSA, OK 74129-4407
(918) 361-7366
Mailing address
2924 S 98TH EAST AVE, TULSA, OK 74129-4407
(918) 361-7366
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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