South Tulsa Asc, LLC

NPI #1174084982 in Tulsa, Oklahoma

Provider Information

NPI Number
1174084982
Entity Type
Organization
Organization Name
South Tulsa Asc, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 26, 2019
Last Updated
Mar 26, 2019

Practice Location

Address
9840 E 81ST ST STE 200
City
Tulsa
ZIP Code
74133-4584
Phone
(623) 764-2780

Authorized Official

Name
MR. TERRANCE WADE O'NEAL
Title
OWNER/PARTNER
Phone
(623) 764-2780

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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