Organization
ANESTHESIOLOGY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELENIE NACHIMSON (CREDENTIALING SPECIALIST)
(405) 775-9350
Entity
Organization
Contact information
Practice address
4317 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-1720
(405) 755-6240
(405) 752-1819
Mailing address
PO BOX 108835, OKLAHOMA CITY, OK 73101-8835
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13773
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112450A
—
OK
01
—
612446100
MEDICARE RR
OK
Enumeration date
05/21/2007
Last updated
06/29/2011
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