Purple Martin Anesthesia LLC

NPI #1902234057 in Enid, Oklahoma

Provider Information

NPI Number: 1902234057
Entity Type: Organization
Organization Name: Purple Martin Anesthesia LLC
Primary Specialty: Anesthesiology
Enumeration Date: Oct 29, 2013
Last Updated: Sep 17, 2019

Practice Location

Address: 305 S 5TH ST
City: Enid
State: Oklahoma
ZIP Code: 73701-5832
Phone: (580) 233-6100

Authorized Official

Name: KATHLEEN KONDAS
Title: OFFICER
Phone: (954) 838-2371

Specialties & Taxonomy Codes

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

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