Organization
TOTAL ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANNEN FERRELL (CEO)
(918) 260-9093
Entity
Organization
Contact information
Practice address
1150 E LANSING ST, BROKEN ARROW, OK 74012-2429
(918) 710-4112
(918) 710-4118
Mailing address
4716 W URBANA ST FL 2, BROKEN ARROW, OK 74012-5997
(918) 710-4112
(918) 710-4118
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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