Organization
PREMIER ANESTHESIA OF OKLAHOMA CITY
Active
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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