Pdaa, INC.
Nurse Anesthetist, Certified Registered in Oklahoma City, OK. Organization (NPI-2).
NPI number1679831663
StatusActive
Last updated in NPPESApr 26, 2012
Details
- NPI
- 1679831663
- Entity type
- Organization (NPI-2)
- Legal business name
- Pdaa, INC.
- Organization subpart
- No
- Enumeration date
- Apr 26, 2012
- Last updated
- Apr 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
| 261QD0000X | Clinic/Center, Dental | – | – |
Practice location
9801 S Pennsylvania AveOklahoma City, OK 73159-6925
Phone 405-692-1222
Mailing address
9801 S Pennsylvania AveOklahoma City, OK 73159-6925
Phone 405-692-1222
Authorized official
Robert Brian Molloy
Owner/President
4056921222
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