Anesthesia Associates of Grand Lake

NPI #1841525193 in Grove, Oklahoma

Provider Information

NPI Number
1841525193
Entity Type
Organization
Organization Name
Anesthesia Associates of Grand Lake
Primary Specialty
Anesthesiology
Enumeration Date
Oct 5, 2009
Last Updated
Jan 11, 2010

Practice Location

Address
1001 E 18TH ST
City
Grove
ZIP Code
74344-2907
Phone
(918) 787-8980

Authorized Official

Name
MR. MARVIN LEE GOODMAN, CRNA
Title
MANAGER AND MEMBER
Phone
(918) 787-8980

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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