NPIRadar

Travis Thompson, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Edmond, OK

NPI
1669791596
Type
Individual (Type 1)
Primary specialty
Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
367500000X
License number
80478 (OK)
Sex
Male
Sole proprietor
No
Enumerated
2010-05-17
Last updated
2011-03-14
Practice location
3324 French Park Dr, Suite D
Edmond, OK 73034-7269
(405) 715-3610

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