Organization
AMBULATORY SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY HANSON PUCKETT MD (PRESIDENT)
(918) 481-6306
Entity
Organization
Contact information
Practice address
6160 S YALE AVE, AMBULATORY SURGERY ASSOCIATES, TULSA, OK 74136-1930
(918) 495-2625
(918) 495-3259
Mailing address
6160 S YALE AVE, AMBULATORY SURGERY ASSOCIATES, TULSA, OK 74136-1930
(918) 495-2625
(918) 495-3259
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0031
OK
Other
Enumeration date
08/17/2005
Last updated
08/22/2020
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