| NPI | 1245264241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI MOORE Credentialing Specialist 405-608-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 67878) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-05-31 |