Organization
PAULSGROVE ANESTHESIA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA PHAM PAULSGROVE CRNA (OWNER)
(405) 312-6296
Entity
Organization
Contact information
Practice address
11410 RED ROCK RD, OKLAHOMA CITY, OK 73120-5345
(405) 312-6296
Mailing address
11410 RED ROCK RD, OKLAHOMA CITY, OK 73120-5345
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/18/2022
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