| NPI | 1801252952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M FOGARTY Managing Member 405-823-2491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0100377) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2022-09-08 |