Individual
MR. PHIL JOSEPH VILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 E CLARK BASS BLVD, MCALESTER, OK 74501-4209
(918) 426-1800
Mailing address
1340 VIRETON RD, MCALESTER, OK 74501-8806
(918) 423-7111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
686634
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
94107
OK
Other
Enumeration date
11/29/2007
Last updated
08/24/2011
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