Organization
TULSA OK ENDOSCOPY ASC LLC
Active
Other names
Tulsa Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
4200 E SKELLY DR, SUITE 100, TULSA, OK 74135-3247
(918) 728-6010
(918) 728-6017
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0073
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084200A
—
OK
Enumeration date
03/22/2006
Last updated
11/23/2022
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