Organization
PAIN FREE ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD RUSSELL HENDERSON CRNA (PRESIDENT)
(405) 312-4145
Entity
Organization
Contact information
Practice address
5701 NE 107TH ST, OKLAHOMA CITY, OK 73151-9558
(405) 769-7080
Mailing address
5701 NE 107TH ST, OKLAHOMA CITY, OK 73151-9558
(405) 796-7080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0062898
OK
Other
Enumeration date
06/07/2007
Last updated
08/29/2007
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