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Organization

PEDIATRIC ANESTHESIA OF OKLAHOMA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN STABINSKI MD (OWNER)
(240) 566-1600
Entity
Organization

Contact information

Practice address
9600 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7408
(240) 566-1600
(770) 701-6718
Mailing address
PO BOX 248994, OKLAHOMA CITY, OK 73124
(240) 566-1600

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
12/10/2021
Last updated
12/10/2021
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