OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE LLC – MOHS-Micrographic Surgery Physician, NPI 1104291236
MOHS-Micrographic Surgery Physician
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NPPES metrics only — not quality of care.
Provider Addresses for OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE LLC
12697 E 51ST ST
TULSA, OK 741466236
Phone: (918) 307-0215
Fax: (918) 250-7669
Type: Mailing
800 W BOISE CIR STE 400
BROKEN ARROW, OK 740124974
Phone: (918) 307-0215
Fax: (918) 250-7669
Type: Location
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-01-15
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 74146)
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