PEDIATRIC SURGERY INC. NPI 1790700649

NPI Information

PEDIATRIC SURGERY, INC. is a pediatric surgery surgery in Tulsa, OK. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PEDIATRIC SURGERY, INC. NPI is 1790700649. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6151 S YALE AVE
SUITE 305
TULSA, OK
ZIP 74136-907
Phone: (918) 494-9494
Fax: (918) 494-9459

The provider's authorized official is Richard D Ranne .
The authorized official title is President and has the following contact phone number (918) 494-9494.

The CLIA number assigned to this NPI record is 37D2059207 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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