Organization
SURGICAL SPECIALISTS OF OKLAHOMA PLLC
Active
Parent organization
SURGICAL SPECIALISTS OF OKLAHOMA PLLC
Other names
Bethany Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGICAL SPECIALISTS OF OKLAHOMA PLLC
Authorized official
MR. DAVID F JOHNSON (CEO)
(405) 842-4850
Entity
Organization
Contact information
Practice address
2349 N THOMPKINS AVE, BETHANY, OK 73008-5307
(405) 842-4850
(405) 842-9612
Mailing address
PO BOX 268848, OKLAHOMA CITY, OK 73126-8848
(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
—
1205879772
NPI
OK
01
—
1477594513
NPI
OK
Enumeration date
10/25/2007
Last updated
09/19/2008
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