Organization
PREMIER ANESTHESIA OF OKLAHOMA CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERT D. HUMMEL III (EXECUTIVE VICE PRESIDENT)
(877) 742-0399
Entity
Organization
Contact information
Practice address
4401 S WESTERN AVE, INTEGRIS SOUTHWEST MEDICAL CENTER - ANESTHESIA DEPT, OKLAHOMA CITY, OK 73109-3413
(405) 636-7000
Mailing address
PO BOX 490, BUFORD, GA 30515-0490
(770) 614-6777
(770) 614-6070
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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