| NPI | 1184832081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELENIE NACHIMSON Credentialing Specialist 405-775-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 13773) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-06-29 |