# SE OKLAHOMA ANESTHESIA SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396034716
- **Authorized official:** JIM BLAIR (CFO)
- **Authorized official phone:** (918) 426-1800

## Contact information

- **Practice address:** 1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
- **Practice address phone:** (918) 426-1800
- **Mailing address:** PO BOX 1547, SEDALIA, MO 65302-1547
- **Mailing address phone:** (660) 826-5960
- **Mailing address fax:** (660) 826-4852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 04/06/2011