Organization
MIDTOWN SURGICAL AND SKIN INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LEEANN HOGUE RN (OFFICE MANAGER)
(918) 600-0025
Entity
Organization
Contact information
Practice address
3336 E 32ND ST STE 250, TULSA, OK 74135-4448
(918) 600-0025
(918) 600-0024
Mailing address
3336 E 32ND ST STE 250, TULSA, OK 74135-4448
(918) 600-0025
(918) 600-0024
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200346250A
—
OK
05
—
200845040A
—
OK
Enumeration date
06/17/2019
Last updated
12/30/2023
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