| NPI | 1710973938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELENIE NACHIMSON Credentialing Specialist 405-775-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 19107) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2011-06-16 |