Ardmore Regional Surgery Center, LLC

NPI #1376709907 in Ardmore, Oklahoma

Provider Information

NPI Number
1376709907
Entity Type
Organization
Organization Name
Ardmore Regional Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 4, 2008
Last Updated
Aug 4, 2008

Practice Location

Address
2002 12TH AVE NW
Address 2
SUITE C
ZIP Code
73401-1227
Phone
(580) 224-0007

Authorized Official

Name
MS. SALLY A GODFREY, CASC
Title
ADMINISTRATOR
Phone
(580) 224-0007

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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