institution
Southside Urology Clinic, P.c.
Medical Specialty Clinic/Center in Oklahoma City, Oklahoma
NPI 1629247341

Southside Urology Clinic, P.c. is a Medical Specialty Clinic/Center based in Oklahoma City, OK and is specialized in Medical Specialty. Southside Urology Clinic, P.c. practices in Oklahoma City, OK. The NPI Number for Southside Urology Clinic, P.c. is 1629247341 and holds a License No. 3478 (Oklahoma).

The current practice location address for Southside Urology Clinic, P.c. is 9817 S Western Ave, Oklahoma City, OK and can be reached out via phone at 405-632-4500 and via fax at 405-632-7500.

Location: 9817 S Western Ave, Oklahoma City, OK, 73139-2812
institution
Provider Profile Details
NPI Number
1629247341
Provider Name
Southside Urology Clinic, P.c.
Credential
Provider Entity Type
Organization
Address
9817 S Western Ave, Oklahoma City, OK, 73139-2812
Phone Number
405-632-4500
Fax Number
405-632-7500
Provider Enumeration Date
02/27/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200620340A 05 OK
institution
Provider Business Practice Location Address Details
Address
9817 S Western Ave
City
State
Zip
73139-2812
Phone Number
405-632-4500
Fax Number
405-632-7500
person
Provider Business Mailing Address Details
Address
9817 S Western Ave
City
State
Zip
73139-2812
Phone Number
405-632-4500
Fax Number
405-632-7500
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
3478 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
3478 (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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