Organization
UTB ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN G BOVASSO D.O. (PRESIDENT)
(800) 232-5703
Entity
Organization
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 599-1000
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 395-4110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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