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Organization

OKLAHOMA SURGICAL HOSPITAL, LLC

Active
Parent organization
OKLAHOMA SURGICAL HOSPITAL, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
OKLAHOMA SURGICAL HOSPITAL, LLC
Authorized official
RICK FERGUSON (CEO)
(918) 477-5049
Entity
Organization

Contact information

Practice address
2408 E 81ST ST, STE 900, TULSA, OK 74137-4217
(918) 477-5071
(918) 477-5978
Mailing address
2408 E 81ST ST, STE 900, TULSA, OK 74137-4217
(918) 477-5071
(918) 477-5978

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2350
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100748450B
OK
Enumeration date
01/14/2008
Last updated
08/08/2008
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