Organization
NORMAN CARDIOVASCULAR SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG L TERRELL (SR VP, COO)
(405) 307-1000
Entity
Organization
Contact information
Practice address
3500 HEALTHPLEX PKWY, SUITE 200, NORMAN, OK 73072-9738
(405) 307-5710
(405) 307-5715
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330
(405) 307-5710
(405) 307-5715
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200119650A
—
OK
Enumeration date
05/08/2007
Last updated
10/22/2013
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