Organization
INTEGRATED ANESTHESIA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(201) 598-2800
Entity
Organization
Contact information
Practice address
5030 N MAY # 291, OKLAHOMA CITY, OK 73112-6010
(405) 594-4001
Mailing address
5030 N MAY # 291, OKLAHOMA CITY, OK 73112-6010
(405) 594-4001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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