Organization
SOUTHERN OKLA SURGICAL SERVICES
Active
Other names
Ardmore Regional Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
J KEITH TROOP MD (PRESIDENT)
(580) 224-0007
Entity
Organization
Contact information
Practice address
2002 12TH NW, STE C, ARDMORE, OK 73401
(580) 224-0007
(580) 223-7140
Mailing address
2002 12TH NW, STE C, ARDMORE, OK 73401
(580) 224-0007
(580) 223-7140
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0064
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10074824A
—
OK
Enumeration date
01/30/2006
Last updated
08/22/2020
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