Organization
ANESTHESIA AND TEE SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LEE DAUTENHAHN M.D. (PRESIDENT)
(405) 919-8840
Entity
Organization
Contact information
Practice address
149 LAKE ALUMA DR, OKLAHOMA CITY, OK 73121-3401
(405) 478-1555
(405) 478-0549
Mailing address
149 LAKE ALUMA DR, OKLAHOMA CITY, OK 73121-3401
(405) 478-1555
(405) 478-0549
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100111220A
—
OK
Enumeration date
01/05/2010
Last updated
03/31/2010
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