Whalio Doctors

NPI 1043216617

Triad Surgery Center LLC

Organisation Ambulatory Surgical Clinic/Center Muskogee, OK

Practice location

Address
3131 Military Blvd, Muskogee, OK 74401-2290
Phone
(918) 687-6600
Fax
(918) 687-6610
Mailing address
6140 S Memorial Dr, Tulsa, OK 74133-1933

Authorised official

Name
Ryan Patrick Conley
Title
Owner/Manager
Phone
(918) 687-6600

Registered specialties (2)

Ambulatory Surgical Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence 0061 (OK)
Ambulatory Surgical Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QA1903X

Registry record

NPI
1043216617
Entity type
Organization
NPI issued
28 Jun 2005
Record last updated
26 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.