Organization Name: | UROLOGIC SPECIALISTS OF OKLAHOMA |
NPI Number: | 1669700571 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT R. BRUCE (PARTNER/OWNER) |
Mailing Address: | 10901 E. 48th St. S. Tulsa |
State: | OK US |
Postal Code: | 741465830 |
Phone Number: | 9187498765 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2009 |
NPI Last Update Date: | 12/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 117717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |