Organization
ANESTHESIOLOGY MANAGEMENT INC
Active
Organization
ANESTHESIOLOGY MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LYNN PHILLIPS D.O. (PRESIDENT)
(580) 242-3003
Entity
Organization
Contact information
Practice address
205 W MAPLE AVE, SUITE 301, ENID, OK 73701-4026
(580) 242-3003
(580) 233-3279
Mailing address
205 W MAPLE AVE, SUITE 301, ENID, OK 73701-4026
(580) 242-3003
(580) 233-3279
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS1359
MEDICARE RR
OK
Enumeration date
05/04/2006
Last updated
04/20/2008
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