| NPI | 1295720597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELENIE NACHIMSON Credentialing Specialist 405-775-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 14847) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2011-10-13 |