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Organization

SE OKLAHOMA ANESTHESIA SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIM BLAIR (CFO)
(918) 426-1800
Entity
Organization

Contact information

Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
04/06/2011
Last updated
04/06/2011
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