Organization
UTICA PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GENE KIRK MD (OWNER)
(918) 582-6958
Entity
Organization
Contact information
Practice address
1145 S UTICA AVE, SUITE 1109, TULSA, OK 74104-4000
(918) 582-6958
(918) 582-8155
Mailing address
1145 S UTICA AVE, SUITE 1109, TULSA, OK 74104-4000
(918) 582-6958
(918) 582-8155
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
12982
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
444447183001
BLUECROSS & BLUESHIELD
OK
Enumeration date
04/17/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us