Organization
VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRIGORY V. CHERNYAK M.D. (ANESTHESIOLOGIST)
(405) 270-0501
Entity
Organization
Contact information
Practice address
921 N.E.13TH STR., OKLAHOMA CITY, OK 73104
(405) 270-0501
Mailing address
1405 NIGHTHAWK DR, EDMOND, OK 73034-6112
(405) 216-0819
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
23791
OK
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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