Organization
ANESTHESIA SPECIALISTS OF OKLAHOMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD FOGARTY (PRESIDENT)
(405) 823-2491
Entity
Organization
Contact information
Practice address
2825 PARKLAWN DR, MIDWEST CITY, OK 73110-4201
(405) 823-2491
Mailing address
1145 W I 240 SERVICE RD STE F100, OKLAHOMA CITY, OK 73139-2134
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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