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Organization

SURGICAL SPECIALISTS OF OKLAHOMA PLLC

Active
Parent organization
SURGICAL SPECIALISTS OF OKLAHOMA PLLC
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
4140 W MEMORIAL RD, STE 422, OKLAHOMA CITY, OK 73120-8366
(405) 751-0051
Mailing address
PO BOX 7570, EDMOND, OK 73083-7570
(405) 842-4850
(405) 242-2180

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245230705
NPI
OK
Enumeration date
10/25/2007
Last updated
12/03/2009
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