Organization
ADVANCED PERIOPERATIVE SERVICES PC
Active
Other names
Keley J Booth MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELEY JOHN BOOTH M.D. (CEO OWNER)
(405) 947-8585
Entity
Organization
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(918) 664-9892
(918) 664-2521
Mailing address
PO BOX 6491, NORMAN, OK 73070-6491
(918) 664-9892
(918) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200087470A
—
OK
Enumeration date
07/11/2006
Last updated
12/08/2009
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