Organization
WESTERN OAKS ANESTHESIA ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
K A (CREDENTIALING)
(334) 000-0000
Entity
Organization
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(918) 664-9892
(918) 664-2521
Mailing address
PO BOX 2065, LOWELL, AR 72745-2065
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729270A
—
OK
Enumeration date
08/03/2006
Last updated
02/19/2016
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