Organization · Type 2 NPI
Vascular Associates of Southern Oklahoma
Vascular Surgery Physician · Ardmore, OK
NPI number
1861504490
Active
Practice location
2002 12th Ave NW Ste E
Ardmore, OK 73401-1206
Fax (580) 223-4184
Mailing address
PO Box 25885
Oklahoma City, OK 73125-0885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 4263 (OK) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1861504490
Vascular Associates of Southern Oklahoma's National Provider Identifier is 1861504490, issued on Aug 31, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Ardmore, OK. The record was last updated on May 19, 2008.