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Individual

DR. ANTON A SURJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2526 E 71ST ST STE J, TULSA, OK 74136-5576
(918) 268-9578
(918) 471-2854
Mailing address
2526 E 71ST ST STE J, TULSA, OK 74136-5576
(918) 268-9578
(918) 471-2854

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25371
OK
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25371
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200110330A
OK
Enumeration date
01/31/2007
Last updated
02/11/2025
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