Advanced Surgical Assisting, LLC

NPI #1730702127 in Tulsa, Oklahoma

Provider Information

NPI Number: 1730702127
Entity Type: Organization
Organization Name: Advanced Surgical Assisting, LLC
Primary Specialty: Surgery
Enumeration Date: May 20, 2020
Last Updated: May 20, 2020

Practice Location

Address: 4012 E 108TH ST
City: Tulsa
State: Oklahoma
ZIP Code: 74137-6707
Phone: (918) 812-1200

Authorized Official

Name: SAMANTHA NICOLE KUPLICKI, APRN-CNS, AGCNS-BC
Title: OWNER
Phone: (918) 812-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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