Organization
ST MARYS ANESTHESIA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERLA HOLGUIN (BUS OFFICE DIRECTOR)
(580) 249-5800
Entity
Organization
Contact information
Practice address
305 S 5TH ST, ENID, OK 73701-5832
(580) 233-6100
(580) 249-3730
Mailing address
PO BOX 1727, ENID, OK 73702-1727
(580) 237-4435
(580) 233-5671
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
08/22/2020
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