Unknown Individual – Surgery Physician, NPI 1235176629
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4401, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States
SUITE 140
OKLAHOMA CITY, OK 731341785
Phone: (405) 752-3162
Fax: (405) 936-5211
Type: Mailing
921, 14th Avenue Northwest, Ardmore, Carter County, Oklahoma, 73401, United States
ARDMORE, OK 734011837
Phone: (580) 223-5311
Fax: (580) 223-8227
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73134)
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