| NPI | 1205193265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELENIE NACHIMSON Credentialing COO Rdinator 405-775-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 18240) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-08-20 |