Breast Surgery of Tulsa P L L C

NPI #1295840155 in Tulsa, Oklahoma

Provider Information

NPI Number: 1295840155
Entity Type: Organization
Organization Name: Breast Surgery of Tulsa P L L C
Primary Specialty: Surgery
Enumeration Date: Aug 20, 2006
Last Updated: Jul 23, 2007

Practice Location

Address: 1120 S UTICA AVE
Address 2: STE G200
City: Tulsa
State: Oklahoma
ZIP Code: 74104-4012
Phone: (918) 299-8232

Authorized Official

Name: LANETTE F SMITH, MD
Title: OWNER
Phone: (918) 299-8232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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