Organization
GREATER TULSA ANESTHESIOLOGISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE EDWIN DAUTENHAHN MD (AUTHORIZED OFFICIAL)
(918) 496-2400
Entity
Organization
Contact information
Practice address
9423 E 95TH CT, TULSA, OK 74133-5805
(918) 496-2400
(405) 948-6507
Mailing address
DEPT 1654, TULSA, OK 74182-0001
(405) 947-8585
(405) 948-6507
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16586
OK
Other
Enumeration date
09/16/2005
Last updated
04/20/2008
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