Organization
OKLAHOMA WEIGHT LOSS SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS V GOROSPE MD (PHYSICIAN/OWNER)
(918) 252-2800
Entity
Organization
Contact information
Practice address
705 W QUEENS ST, BROKEN ARROW, OK 74012-1767
(918) 252-2800
(918) 252-2888
Mailing address
8177 S HARVARD AVE # 518, TULSA, OK 74137-1612
(918) 252-2800
(918) 252-2888
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10249
OK
Other
Enumeration date
11/28/2011
Last updated
12/01/2011
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