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Organization

ASCENSION ANESTHESIA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT LLOYD CHANCE D.O. (SOLE PROPRIETOR)
(405) 775-9350
Entity
Organization

Contact information

Practice address
4131 NW 122ND ST, OKLAHOMA CITY, OK 73120-8869
(405) 775-9350
(405) 775-9350
Mailing address
PO BOX 108835, OKLAHOMA CITY, OK 73101-8835
(405) 775-9350
(405) 775-9360

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3249
OK

Other

Enumeration date
12/17/2012
Last updated
12/17/2012
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