Whalio Doctors

NPI 1114340627

Cerberus Surgical, PLLC

Organisation Surgery Physician Tulsa, OK

Practice location

Address
1809 E 13th St Suite 200, Tulsa, OK 74104-4419
Phone
(817) 485-5100
Fax
(817) 485-5101
Mailing address
PO Box 108819, Oklahoma City, OK 73101-8819

Authorised official

Name
Charles Neff
Title
Director
Phone
(817) 485-5100

Registered specialties (3)

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 23844 (OK)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 200300503 (NC)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence K9947 (TX)

Registry record

NPI
1114340627
Entity type
Organization
NPI issued
4 Feb 2014
Record last updated
18 Nov 2016

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.