# INGHAM ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1730328030
- **Authorized official:** CHRISTOPHER INGHAM CRNA (OWNER)
- **Authorized official phone:** (580) 323-2363

## Contact information

- **Practice address:** 100 N 30TH ST, CLINTON, OK 73601-3117
- **Practice address phone:** (580) 323-2363
- **Mailing address:** PO BOX 1233, CLINTON, OK 73601-1233
- **Mailing address phone:** (580) 323-2891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/10/2009
- **Last updated:** 02/10/2009