Individual
JAMES F FIALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2412 N COMMERCE ST, ARDMORE, OK 73401-1356
(580) 226-5000
(580) 226-5035
Mailing address
PO BOX 5978, ARDMORE, OK 73403-0978
(580) 226-5000
(580) 226-5035
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0028462
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100786410A
—
OK
01
—
430033622
RAILROAD MEDICARE
OK
01
—
734030000
TRICARE
OK
Enumeration date
08/24/2005
Last updated
02/23/2009
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