Organization
GROUP LLC
Active
Other names
The Bam Anesthesia Group
Organization subpart
No
Provider details
NPI number
Authorized official
R. JAY CHRISTENSEN MD (PRESIDENT)
(405) 418-4800
Entity
Organization
Contact information
Practice address
1000 N LINCOLN BLVD STE 150, OKLAHOMA CITY, OK 73104-3253
(405) 418-4800
(405) 418-4820
Mailing address
PO BOX 108835, OKLAHOMA CITY, OK 73101-8835
(405) 418-4800
(405) 418-4820
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200487290A
—
OK
01
—
617740000
US DEPT OF LABOR
OK
01
—
DU1302
RR MEDICARE
OK
Enumeration date
05/01/2013
Last updated
06/13/2019
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