Organization
CRNA ENDOSCOPY ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK M TEKELL CRNA (PRESIDENT)
(405) 210-0289
Entity
Organization
Contact information
Practice address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 809-4200
(405) 364-5379
Mailing address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 809-4200
(405) 364-5379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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