| Norman Surgical Arts Center | |
|
640 24th Ave Sw Norman OK 73069-3913 | |
| (405) 364-6777 | |
| (405) 364-6789 |
| Full Name | Norman Surgical Arts Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 640 24th Ave Sw, Norman, Oklahoma |
| Authorized Official Name and Position | Merlin Edmund Braly (PHYSICIAN) |
| Authorized Official Contact | 4053646777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Surgical Arts Center Po Box 269029 Oklahoma City OK 73126-9029 Ph: (405) 848-7974 | Norman Surgical Arts Center 640 24th Ave Sw Norman OK 73069-3913 Ph: (405) 364-6777 |
| NPI Number | 1265530083 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265530083 | NPI | - | NPPES |
| 200088680A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3765 AND 5216 (Oklahoma) | Primary |
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