Organization
ST. ANTHONY MIDTOWN AMBULATORY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM HYDE C.P.A (MANAGER)
(405) 272-6482
Entity
Organization
Contact information
Practice address
1110 N LEE AVE, OKLAHOMA CITY, OK 73103-2612
(405) 552-9550
(405) 552-9571
Mailing address
1110 N LEE AVE, OKLAHOMA CITY, OK 73103-2612
(405) 552-9550
(405) 552-9571
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0054
OK
Other
Enumeration date
05/26/2006
Last updated
11/15/2007
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