Organization
SURGICAL SPECIALISTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORVILLLE LEE RICKEY JR. M,D. (OWNER)
(405) 942-9949
Entity
Organization
Contact information
Practice address
3511 NW 41ST STREET, OKLAHOMA CITY, OK 73112
(405) 942-9949
(405) 942-9959
Mailing address
3511 NW 41ST STREET, OKLAHOMA CITY, OK 73112
(405) 942-9949
(405) 942-9959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73093504003
BCBS
—
Enumeration date
07/11/2008
Last updated
07/11/2008
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