Individual
STAN ALLEN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
(918) 481-5170
Mailing address
6504 E 84TH ST, TULSA, OK 74133-4224
(918) 292-8188
(918) 292-8188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0047935
OK
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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