Organization
HEALTHCREST SURGICAL MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA GRUS (VP, MANAGED CARE CONTRACTING)
(405) 697-2420
Entity
Organization
Contact information
Practice address
3540 S BOULEVARD STE 225, EDMOND, OK 73013-5569
(405) 697-2420
(405) 697-2470
Mailing address
3540 S BOULEVARD STE 225, EDMOND, OK 73013-5569
(405) 697-2420
(405) 697-2470
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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