Organization
SURGICAL SPECIALISTS OF OKLAHOMA PLLC
Active
Parent organization
SURGICAL SPECIALISTS OF OKLAHOMA PLLC
Other names
E N Scott Samara, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGICAL SPECIALISTS OF OKLAHOMA PLLC
Authorized official
MRS. ANGELA COSBY (CEO)
(405) 842-4850
Entity
Organization
Contact information
Practice address
3433 NW 56TH ST, BLDG B SUITE 920, OKLAHOMA CITY, OK 73112-4455
(405) 943-1137
(405) 947-0731
Mailing address
PO BOX 7570, EDMOND, OK 73083-7570
(405) 842-4850
(405) 842-9612
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255483319
NPI
OK
01
—
1336130756
NPI
OK
Enumeration date
10/29/2007
Last updated
12/15/2010
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