Organization
OKLAHOMA MOBILE LITHOTRIPTER ASSOCIATES, L.C.
Active
Parent organization
OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKLAHOMA LITHOTRIPTER ASSOCIATES, L.C.
Authorized official
STEWART BURCHETT (EXECUTIVE DIRECTOR)
(405) 604-4160
Entity
Organization
Contact information
Practice address
5401 N PORTLAND AVE, SUITE 640, OKLAHOMA CITY, OK 73112-2121
(405) 604-4160
(405) 604-4053
Mailing address
5401 N PORTLAND AVE, SUITE 640, OKLAHOMA CITY, OK 73112-2121
(405) 604-4160
(405) 604-4053
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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