Individual
CHAZ WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-8344
(918) 579-1556
Mailing address
7805 S HARVARD AVE, TULSA, OK 74136-8061
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R84680
OK
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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