Whalio Doctors

NPI 1346541869

Patriot Anesthesia LLC

Organisation Pain Medicine (Anesthesiology) Physician Durant, OK

Practice location

Address
1800 W University Blvd, Durant, OK 74701-3006
Phone
(405) 926-7348
Fax
(405) 207-9956
Mailing address
35907 E County Road 1600, Pauls Valley, OK 73075-9070

Authorised official

Name
James Martin Bashaw
Title
President
Phone
(405) 926-7348

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 75945 (OK)

Registry record

NPI
1346541869
Entity type
Organization
NPI issued
15 Nov 2010
Record last updated
22 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.