| NPI | 1902039241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI MOORE Credentialing Coordinator 405-418-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 16541) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2020-10-21 |