Organization
CIMARRON SURGICAL AND UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA J DEAVERS (OFFICE MANAGER)
(405) 372-2050
Entity
Organization
Contact information
Practice address
801 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 372-2050
(405) 743-3003
Mailing address
801 S WALNUT ST, STILLWATER, OK 74074-4226
(405) 372-2050
(405) 743-3003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2010
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