Organization
ANESTHESIA SPECIALISTS OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M FOGARTY APRN-CRNA (MANAGING MEMBER)
(405) 823-2491
Entity
Organization
Contact information
Practice address
21 NE 3RD ST, OKLAHOMA CITY, OK 73104-2205
(405) 823-2491
(402) 434-6047
Mailing address
PO BOX 6971, LINCOLN, NE 68506-0971
(402) 486-7040
(402) 434-6047
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0100377
OK
Other
Enumeration date
01/05/2016
Last updated
09/08/2022
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