Organization
ADA VALLEY ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RICHARDS MD (OWNER)
(580) 272-0485
Entity
Organization
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 272-0485
(580) 332-5750
Mailing address
1621 CRADDUCK RD, ADA, OK 74820-8408
(580) 272-0485
(580) 272-0485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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