ANESTHESIA ASSOCIATES OF GRAND LAKE

GROVE, OK
NPI1841525193
Entity TypeOrganization
Authorized ContactMARVIN LEE GOODMAN
Manager And Member
918-787-8980
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2009-10-05
Last Update Date2010-01-11
Business Address
ANESTHESIA ASSOCIATES OF GRAND LAKE
1001 E 18TH ST
GROVE, OK 74344-2907
Phone number: 918-787-8980
Mailing Address
ANESTHESIA ASSOCIATES OF GRAND LAKE
PO BOX 453144
GROVE, OK 74345-3144
Phone number: 918-787-8980
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