Organization
SOUTHWEST ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY A DICKSON MD (AUTHORIZED OFFICIAL)
(888) 709-3117
Entity
Organization
Contact information
Practice address
8100 S WALKER AVE BLDG C, OKLAHOMA CITY, OK 73139-9404
(887) 093-1178
(405) 606-8976
Mailing address
15225 WESTERN VISTA DR, EDMOND, OK 73013-9643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/07/2019
Last updated
03/16/2021
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