Organization
HOLBROOK ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA L HOLBROOK CRNA (PRESIDENT)
(405) 307-0548
Entity
Organization
Contact information
Practice address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 809-4200
(405) 364-5379
Mailing address
412 FOREMAN AVE, NORMAN, OK 73069-6610
(405) 307-0548
(405) 307-9831
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024073
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100787590A
—
OK
Enumeration date
09/06/2011
Last updated
09/06/2011
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