Provider Demographics
NPI:1134241797
Name:ALLIED SURGICAL ASSOCIATES
Entity type:Organization
Organization Name:ALLIED SURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:918-695-0167
Mailing Address - Street 1:5874 S MINGO RD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-6425
Mailing Address - Country:US
Mailing Address - Phone:918-893-6201
Mailing Address - Fax:918-893-6202
Practice Address - Street 1:5874 S MINGO RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-6425
Practice Address - Country:US
Practice Address - Phone:918-893-6201
Practice Address - Fax:918-893-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty