Organization
TRIAD SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PATRICK CONLEY DO (MANAGER)
(918) 687-6600
Entity
Organization
Contact information
Practice address
2783 N SHILOH DR, FAYETTEVILLE, AR 72704-6983
(479) 442-8653
Mailing address
6140 S MEMORIAL DR, TULSA, OK 74133-1933
(479) 442-8653
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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