Wichita Medical Anesthesia LLC

NPI #1083222137 in Lawton, Oklahoma

Provider Information

NPI Number
1083222137
Entity Type
Organization
Organization Name
Wichita Medical Anesthesia LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jul 15, 2020
Last Updated
Aug 4, 2020

Practice Location

Address
3617 W GORE BLVD STE C
City
Lawton
ZIP Code
73505-6373
Phone
(580) 351-0500

Authorized Official

Name
STARLA ROSS
Title
ADMINISTRATOR
Phone
(580) 351-0500

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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