Enid Surgical Anesthesia LLC

NPI #1134416373 in Enid, Oklahoma

Provider Information

NPI Number: 1134416373
Entity Type: Organization
Organization Name: Enid Surgical Anesthesia LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jul 8, 2011
Last Updated: Jan 10, 2012

Practice Location

Address: 1133 W WILLOW RD
City: Enid
State: Oklahoma
ZIP Code: 73703-2504
Phone: (580) 233-7171

Authorized Official

Name: MRS. KIMBERLY RENEE' WISE
Title: BUSINESS ADMINISTRATOR
Phone: (580) 233-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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