Organization
ELITE SURGICAL ASSISTING, LLC
Active
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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