Organization
MCALESTER REGIONAL HEALTH CENTER MRHC CLINICS
Active
Other names
Southeast Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEITH (CEO)
(918) 426-1800
Entity
Organization
Contact information
Practice address
2 E CLARK BASS BLVD, SUITE 301, MCALESTER, OK 74501-4282
(918) 421-6846
(918) 421-6875
Mailing address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
(918) 421-6698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200456750C
—
OK
Enumeration date
08/01/2014
Last updated
02/05/2015
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