Organization
BMC ANESTHESIA PC
Active
Organization
BMC ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE DERBY DO (OWNER)
(918) 728-6145
Entity
Organization
Contact information
Practice address
10502 N 110TH EAST AVE, OWASSO, OK 74055-6627
(918) 728-6145
Mailing address
4500 S GARNETT RD, STE 919, TULSA, OK 74146-5229
(918) 728-6145
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
12/04/2007
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