Organization
INTEGRIS DDSI ENDOSCOPY CENTERS LLC
Active
Other names
OKLAHOMA ENDOSCOPY SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WEED (VP FINANCE)
(405) 951-2757
Entity
Organization
Contact information
Practice address
4201 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3410
(405) 632-4000
Mailing address
5400 N INDEPENDENCE AVE STE 200, OKLAHOMA CITY, OK 73112-5300
(405) 713-5506
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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