Organization
TIMOTHY J SCOTT CRNA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J SCOTT CRNA (PRESIDENT)
(405) 573-0420
Entity
Organization
Contact information
Practice address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 329-7300
(405) 364-5379
Mailing address
1804 BROONE DR, NORMAN, OK 73071-3875
(405) 573-0420
(405) 573-0420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0054614
OK
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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