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Organization

TOPKNOT SURGICAL ASSISTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CIE PSHIGODA (CSFA)
(918) 808-0583
Entity
Organization

Contact information

Practice address
8409 SUMMIT AVE, SKIATOOK, OK 74070-5540
(918) 808-0583
Mailing address
8409 SUMMIT AVE, SKIATOOK, OK 74070-5540

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
117717
OK

Other

Enumeration date
03/31/2014
Last updated
03/31/2014
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