Healthcare Provider Details

I. General information

NPI: 1912238916
Provider Name (Legal Business Name): SOMMEIL SUR ANESTHESIA SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 W GRAY ST
NORMAN OK
73069-7117
US

IV. Provider business mailing address

415 W GRAY ST
NORMAN OK
73069-7117
US

V. Phone/Fax

Practice location:
  • Phone: 405-809-4200
  • Fax: 405-364-5379
Mailing address:
  • Phone: 405-809-4200
  • Fax: 405-364-5379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR0081280
License Number StateOK

VIII. Authorized Official

Name: CHRISTOPHER JEROME MARMANDE
Title or Position: PRESIDENT
Credential: CRNA
Phone: 251-343-6683