Organization
NORTHWEST ANESTHESIA PC
Active
Organization
NORTHWEST ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J GAWEY M.D. (MEDICAL DIRECTOR)
(405) 947-5557
Entity
Organization
Contact information
Practice address
3300 NW EXPRESSWAY, 2ND FLOOR, DEPARTMENT OF ANESTHESIOLOGY, OKLAHOMA CITY, OK 73112-4418
(405) 951-2815
(405) 951-2495
Mailing address
PO BOX 26168, OKLAHOMA CITY, OK 73126-0168
(405) 947-8585
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100743880A
—
OK
01
—
175289900
DOL GRP NUMBER
—
Enumeration date
03/22/2006
Last updated
01/19/2010
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