Organization
SURGERY CENTER AT DURANT LLC
Active
Other names
Surgery Center at Durant LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3716
Entity
Organization
Contact information
Practice address
1400 BRYAN DR, DURANT, OK 74701-2156
(580) 931-3312
Mailing address
1400 BRYAN DR, DURANT, OK 74701-2156
(580) 931-3312
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
056
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747850A
—
OK
Enumeration date
05/28/2006
Last updated
08/09/2010
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