| NPI | 1669449518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP MALONE Operations Manager 405-321-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-04-02 |