Organization
CANADIAN VALLEY ANESTHESIA SERVICES
Active
Other names
INTEGRIS Canadian Valley Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
GREG A MEYERS (VICE PRESIDENT)
(580) 548-1367
Entity
Organization
Contact information
Practice address
1201 HEALTH CENTER PARKWAY, YUKON, OK 73099
(405) 717-6800
(405) 717-7964
Mailing address
DEPT 963410, OKLAHOMA CITY, OK 73196-3410
(580) 548-1367
(580) 548-1537
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075240A
—
OK
01
—
611105600
DEPT OF LABOR
—
Enumeration date
05/03/2006
Last updated
05/09/2013
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