Organization
SPECIALISTS SURGERY CENTER LLC
Active
Other names
Physicians Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES COKER (ADMINISTRATOR)
(405) 621-8800
Entity
Organization
Contact information
Practice address
5925 NW 139TH ST, OKLAHOMA CITY, OK 73142-1922
(405) 621-8800
(405) 621-8802
Mailing address
5925 NW 139TH ST, OKLAHOMA CITY, OK 73142-1922
(405) 621-8800
(405) 621-8802
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0051
OK
Other
Enumeration date
08/30/2005
Last updated
08/29/2007
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