institution
Utica Plastic Surgery Inc
Plastic and Reconstructive Surgery Physician in Tulsa, Oklahoma
NPI 1952527178

Utica Plastic Surgery Inc is a Plastic and Reconstructive Surgery Physician based in Tulsa, OK and is specialized in Plastic and Reconstructive Surgery. Utica Plastic Surgery Inc practices in Tulsa, OK. The NPI Number for Utica Plastic Surgery Inc is 1952527178 and holds a License No. 12982 (Oklahoma).

The current practice location address for Utica Plastic Surgery Inc is 1145 S Utica Ave, Tulsa, OK and can be reached out via phone at 918-582-6958 and via fax at 918-582-8155.

Location: 1145 S Utica Ave, Tulsa, OK, 74104-4000
institution
Provider Profile Details
NPI Number
1952527178
Provider Name
Utica Plastic Surgery Inc
Credential
Provider Entity Type
Organization
Address
1145 S Utica Ave, Tulsa, OK, 74104-4000
Phone Number
918-582-6958
Fax Number
918-582-8155
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
444447183001 01 OK BLUECROSS & BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
1145 S Utica Ave
City
State
Zip
74104-4000
Phone Number
918-582-6958
Fax Number
918-582-8155
person
Provider Business Mailing Address Details
Address
1145 S Utica Ave
City
State
Zip
74104-4000
Phone Number
918-582-6958
Fax Number
918-582-8155
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
12982 (Oklahoma)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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