Organization
ISMC SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY F. HUPFELD (CEO)
(405) 949-3011
Entity
Organization
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7000
Mailing address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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