Individual
DOLORES PASIERB
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2412 NORTH COMMERCE, ARDMORE, OK 73401
(580) 226-5000
(580) 226-5035
Mailing address
PO BOX 5978, ARDMORE, OK 73403
(580) 226-5000
(580) 226-5035
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0016566
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731205988005
DEPT OF REHABILITATION
OK
01
—
P00074986
RAILROAD MEDICARE
OK
Enumeration date
06/24/2006
Last updated
07/08/2007
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