Gl MD Anesthesia Pllc

NPI #1962113308 in Tulsa, Oklahoma

Provider Information

NPI Number: 1962113308
Entity Type: Organization
Organization Name: Gl MD Anesthesia Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Dec 6, 2022
Last Updated: Dec 6, 2022

Practice Location

Address: 1923 S UTICA AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74104-6520
Phone: (254) 258-7272

Authorized Official

Name: GABRIEL LANE, MD
Title: MANAGING MEMBER
Phone: (254) 258-7272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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