Derek Dane Freeman CRNA

NPI 1679759823 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1679759823
Gender Male
Enumeration Date 01/18/2008
Last Updated 12/05/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
OKLAHOMA CITY OK, 73114-7408, US
Phone (405) 715-3610
Business Location
PO BOX 13618
OKLAHOMA CITY OK, 73113-1618, US
Phone (405) 715-3610
Taxonomy Code 367500000X
License State Oklahoma
License Number 90661
Remove 1679759823 NPI Number

According to our database, Derek Dane Freeman CRNA NPI is 1679759823, taxonomy code is 367500000X and license number is 90661, license state is located at Oklahoma. Derek Dane Freeman CRNA physically located at 9600 Broadway Ext, Oklahoma City OK, 73114-7408. NPI Number Derek Dane Freeman CRNA has the Individual type.

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1679759823 NPI number is provided on an as is basis without warranty of any kind. 1679759823 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Dane Freeman CRNA are for informational purposes only.