Organization
RAWLS ANESTHESIA SERVICE, INC
Active
Organization
RAWLS ANESTHESIA SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L RAWLS CRNA (OWNER)
(405) 715-3610
Entity
Organization
Contact information
Practice address
3324 FRENCH PARK DR, STE. D, EDMOND, OK 73034-7269
(405) 715-3610
(405) 715-3612
Mailing address
3324 FRENCH PARK DR, STE. D, EDMOND, OK 73034-7269
(405) 715-3610
(405) 715-3612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0068167
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
464171909001
BCBS OF OKLAHOMA
OK
Enumeration date
02/27/2007
Last updated
08/22/2020
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