institution
Outpatient Surgical Center Of Ponca City, Llc
Ambulatory Surgical Clinic/Center in Ponca City, Oklahoma
NPI 1659337194

Outpatient Surgical Center Of Ponca City, Llc is an Ambulatory Surgical Clinic/Center based in Ponca City, OK and is specialized in Ambulatory Surgical. Outpatient Surgical Center Of Ponca City, Llc practices in Ponca City, OK. The NPI Number for Outpatient Surgical Center Of Ponca City, Llc is 1659337194 and holds a License No. 0021 (Oklahoma).

The current practice location address for Outpatient Surgical Center Of Ponca City, Llc is 400 Fairview Ave, Ponca City, OK and can be reached out via phone at 580-762-0695 and via fax at 580-765-9406.

Location: 400 Fairview Ave, Ponca City, OK, 74601-1920
institution
Provider Profile Details
NPI Number
1659337194
Provider Name
Outpatient Surgical Center Of Ponca City, Llc
Credential
Provider Entity Type
Organization
Address
400 Fairview Ave, Ponca City, OK, 74601-1920
Phone Number
580-762-0695
Fax Number
580-765-9406
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200037990A 05 OK
institution
Provider Business Practice Location Address Details
Address
400 Fairview Ave
City
State
Zip
74601-1920
Phone Number
580-762-0695
Fax Number
580-765-9406
person
Provider Business Mailing Address Details
Address
400 Fairview Ave
City
State
Zip
74601-1920
Phone Number
580-762-0695
Fax Number
580-765-9406
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
0021 (Oklahoma)
Definition
Definition to come...
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