Organization · Type 2 NPI

Triad Surgery Center LLC

Ambulatory Surgical Clinic/Center · Muskogee, OK

NPI number 1043216617 Active

Practice location

3131 Military Blvd
Muskogee, OK 74401-2290

Call (918) 687-6600 Map

Fax (918) 687-6610

Mailing address

6140 S Memorial Dr
Tulsa, OK 74133-1933

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	0061 (OK)
Ambulatory Surgical Clinic/Center	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

6 other providers at this address

Other ambulatory surgical clinic/center providers in Muskogee

Three Rivers Surgical Care LPAmbulatory Surgical Clinic/Center Muskogee, OK NPI 1477519262

See all in Muskogee →

NPI record

NPI: 1043216617
Entity type: Organization (Type 2)
Issued: Jun 28, 2005
Last updated: Jun 26, 2019
Status: Active

Other names

<unavail>
Triad Eye Institute · former legal business name
Triad Eye Medical Clinic and Cataract Institute PLLC · former legal business name
Triad Eye Medical Clinic and Cataract Institute PLLC · former legal business name

Authorized official

Ryan Patrick Conley
Owner/manager
(918) 687-6600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043216617

Triad Surgery Center LLC's National Provider Identifier is 1043216617, issued on Jun 28, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Muskogee, OK. The record was last updated on Jun 26, 2019.