Organization
ADVANCED SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA NICOLE KUPLICKI APRN-CNS, AGCNS-BC (OWNER)
(918) 812-1200
Entity
Organization
Contact information
Practice address
4012 E 108TH ST, TULSA, OK 74137-6707
(918) 812-1200
Mailing address
4012 E 108TH ST, TULSA, OK 74137-6707
(918) 812-1200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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