Organization
NORMAN SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM SHI CONNALLY MD (MEMBER)
(405) 329-4102
Entity
Organization
Contact information
Practice address
500 E ROBINSON ST, 2300, NORMAN, OK 73071-6697
(405) 329-4102
(405) 364-3476
Mailing address
500 E ROBINSON ST, 2300, NORMAN, OK 73071-6697
(405) 329-4102
(405) 364-3476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
17833
OK
208600000X
Surgery Physician
Primary
23363
OK
208600000X
Surgery Physician
24274
OK
208600000X
Surgery Physician
26881
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
9306
OK
363L00000X
Nurse Practitioner
R0054197
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200127940A
—
OK
Enumeration date
09/21/2007
Last updated
01/15/2013
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