| NPI | 1376538140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE EDWIN DAUTENHAHN Authorized Official 918-496-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 16586) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2008-04-20 |