Organization
IAS OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR ZENAROSA MD (OWNER)
(469) 420-5544
Entity
Organization
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(469) 420-5544
Mailing address
PO BOX 3140, INDIANAPOLIS, IN 46206-3140
(469) 420-5527
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
02/15/2024
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