| NPI | 1124221999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD RUSSELL HENDERSON President 405-312-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0062898) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-08-29 |