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Southern Oklahoma Urology, Inc
Medical Specialty Clinic/Center in Ada, Oklahoma
NPI 1528254109

Southern Oklahoma Urology, Inc is a Medical Specialty Clinic/Center based in Ada, OK and is specialized in Medical Specialty. Southern Oklahoma Urology, Inc practices in Ada, OK. The NPI Number for Southern Oklahoma Urology, Inc is 1528254109 and holds a License No. (Oklahoma).

The current practice location address for Southern Oklahoma Urology, Inc is 1414 Arlington St, Ada, OK and can be reached out via phone at 580-332-0112 and via fax at 580-332-1005.

Location: 1414 Arlington St, Ada, OK, 74820-2643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528254109
Provider Name
Southern Oklahoma Urology, Inc
Credential
Provider Entity Type
Organization
Address
1414 Arlington St, Ada, OK, 74820-2643
Phone Number
580-332-0112
Fax Number
580-332-1005
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1414 Arlington St
City
Ada
State
Oklahoma
Zip
74820-2643
Phone Number
580-332-0112
Fax Number
580-332-1005
person
Provider Business Mailing Address Details
Address
1414 Arlington St
City
Ada
State
Oklahoma
Zip
74820-2643
Phone Number
580-332-0112
Fax Number
580-332-1005
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
(Oklahoma)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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