Organization · Type 2 NPI

Providence Surgical Group at Bailey PLLC

Surgery Physician · Owasso, OK

NPI number 1376692095 Active

Practice location

10512 N 110th East Ave, Suite 200
Owasso, OK 74055

Call (918) 344-6266 Map

Fax (918) 298-2138

Mailing address

117 E 122nd Pl
Jenks, OK 74037-2860

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X24688 (OK)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1376692095

Providence Surgical Group at Bailey PLLC's National Provider Identifier is 1376692095, issued on Jan 10, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Owasso, OK. The record was last updated on Aug 22, 2020.