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Organization

SOUTHWESTERN OKLAHOMA SURGICAL ASSOCIATES, LLC

Active
Other names
Omni Surgical Center
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWNA BYRD (ADMINISTRATOR)
(580) 699-3939
Entity
Organization

Contact information

Practice address
5374 NW CACHE RD, LAWTON, OK 73505-3313
(580) 699-3939
(580) 699-3943
Mailing address
5374 NW CACHE RD, LAWTON, OK 73505-3313
(580) 699-3939

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
03/06/2024
Last updated
03/06/2024
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