institution
Foundation Surgery Affiliate Of Northwest Oklaho
Ambulatory Surgical Clinic/Center in Oklahoma City, Oklahoma
NPI 1093771909

Foundation Surgery Affiliate Of Northwest Oklaho is an Ambulatory Surgical Clinic/Center based in Oklahoma City, OK and is specialized in Ambulatory Surgical. Foundation Surgery Affiliate Of Northwest Oklaho practices in Oklahoma City, OK. The NPI Number for Foundation Surgery Affiliate Of Northwest Oklaho is 1093771909 and holds a License No. 0077 (Oklahoma).

The current practice location address for Foundation Surgery Affiliate Of Northwest Oklaho is 14000 N. Portland Avenue, Oklahoma City, OK and can be reached out via phone at 405-936-8100 and via fax at 405-748-5962.

Location: 14000 N. Portland Avenue, Oklahoma City, OK, 73134-4004
institution
Provider Profile Details
NPI Number
1093771909
Provider Name
Foundation Surgery Affiliate Of Northwest Oklaho
Credential
Provider Entity Type
Organization
Address
14000 N. Portland Avenue, Oklahoma City, OK, 73134-4004
Phone Number
405-936-8100
Fax Number
405-748-5962
Provider Enumeration Date
04/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0077 01 OK LICENSE
200077650 A 05 OK
institution
Provider Business Practice Location Address Details
Address
14000 N. Portland Avenue
City
State
Zip
73134-4004
Phone Number
405-936-8100
Fax Number
405-748-5962
person
Provider Business Mailing Address Details
Address
14000 N. Portland Avenue
City
State
Zip
73134-4004
Phone Number
405-936-8100
Fax Number
405-748-5962
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
0077 (Oklahoma)
Definition
Definition to come...
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