Organization
STANTON ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY PRICE (BILLING MANAGER)
(405) 775-9350
Entity
Organization
Contact information
Practice address
3705 W MEMORIAL RD, SUITE 302, OKLAHOMA CITY, OK 73134-1512
(405) 775-9350
(405) 775-9360
Mailing address
PO BOX 25016, OKLAHOMA CITY, OK 73125
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21904
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100709820A
—
OK
01
—
348047100
DOL
OK
01
—
5860324
AETNA
OK
01
—
DB1576
MEDICARE RR
OK
Enumeration date
09/23/2005
Last updated
06/05/2008
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