Ada Valley Anesthesia Pllc

NPI #1679135446 in Ada, Oklahoma

Provider Information

NPI Number: 1679135446
Entity Type: Organization
Organization Name: Ada Valley Anesthesia Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Jul 2, 2019
Last Updated: Jul 2, 2019

Practice Location

Address: 430 N MONTE VISTA ST
City: Ada
State: Oklahoma
ZIP Code: 74820-4610
Phone: (580) 272-0485

Authorized Official

Name: JOSEPH RICHARDS, MD
Title: OWNER
Phone: (580) 272-0485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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