Organization
OWL ANESTHESIA APRN-CRNA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROBBIN SAUNDERS APRN-CRNA (PRESIDENT)
(276) 971-7319
Entity
Organization
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST REGIONAL MEDICAL CENTER, MIDWEST CITY, OK 73110-4201
(405) 360-7576
(405) 360-7762
Mailing address
2502 ASHE CREEK DR, EDMOND, OK 73034-5949
(276) 971-7319
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
104163
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200418130A
—
OK
01
—
OKAAA3389
MEDICARE PTAN
OK
Enumeration date
05/21/2013
Last updated
05/21/2013
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