Organization
ARDMORE ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMI PULLEN (OFFICE MANAGER)
(580) 226-1251
Entity
Organization
Contact information
Practice address
1012 14TH AVE NW, ARDMORE, OK 73401
(580) 226-1251
(580) 226-1254
Mailing address
PO BOX 1983, ARDMORE, OK 73402
(580) 226-1251
(580) 226-1254
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/28/2006
Last updated
12/26/2014
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