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Individual

WADE THOMAS CRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 392-4685
(918) 392-4693

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011021502
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
M133111
OK

Other

Enumeration date
05/06/2019
Last updated
11/18/2019
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