Organization
OKLAHOMA EMERGENCY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER M. SMITH (CFO)
(925) 251-6933
Entity
Organization
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(925) 924-1600
(925) 924-0506
Mailing address
5000 HOPYARD RD, SUITE 100, PLEASANTON, CA 94588-3348
(925) 924-1600
(925) 924-0506
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/12/2010
Last updated
01/10/2020
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