Organization
INTEGRIS BASS BAPTIST HEALTH CENTER
Active
Other names
Anesthesia of Enid
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M BROWN (VP REGIONAL PHY PRACT MGMT)
(580) 548-1367
Entity
Organization
Contact information
Practice address
600 S MONROE ST, ENID, OK 73701-7211
(580) 548-1367
(580) 548-1583
Mailing address
PO BOX 960184, OKLAHOMA CITY, OK 73196-0001
(580) 548-1367
(580) 548-1583
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699500Y
—
OK
Enumeration date
08/09/2005
Last updated
03/28/2011
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