Organization
UROLOGIC SPECIALISTS OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JOSEPH GANCARCZYK MD (PRESIDENT)
(918) 749-8765
Entity
Organization
Contact information
Practice address
10901 E 48TH ST, TULSA, OK 74146-5830
(918) 749-8765
(918) 392-2155
Mailing address
10901 E 48TH ST, TULSA, OK 74146-5830
(918) 749-8765
(918) 392-2155
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
246Z00000X
Other Specialist/Technologist
117717
OK
Other
Enumeration date
12/04/2009
Last updated
04/05/2022
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