Organization
PREMIER ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J MILLER MD (PRESIDENT)
(405) 775-9350
Entity
Organization
Contact information
Practice address
4131 NW 122ND ST, OKLAHOMA CITY, OK 73120-8869
(405) 775-9350
Mailing address
PO BOX 268860, OKLAHOMA CITY, OK 73126-8860
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19895
OK
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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